Individual
DANIEL GAVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
14 GARY WAY, ALAMO, CA 94507-2430
(650) 200-8527
Mailing address
14 GARY WAY, ALAMO, CA 94507-2430
(650) 200-8527
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108654
CA
Other
Enumeration date
06/30/2022
Last updated
08/29/2024
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