Individual
MICHAEL GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1637 MAIN ST, ONALASKA, WI 54650-2853
(608) 781-3999
(608) 781-3998
Mailing address
1637 MAIN ST, ONALASKA, WI 54650-2853
(608) 781-3999
(608) 781-3998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7149
WI
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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