Individual
SUMMER GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 E END BLVD, WILKES BARRE, PA 18711-0030
(570) 824-3521
Mailing address
233 HEMLOCK TER, MOUNTAIN TOP, PA 18707-1530
(570) 259-7603
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401419891
VA
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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