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Individual

DR. WILLIAM GAVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
6949 VALLEY CREEK RD, #130, WOODBURY, MN 55125-2253
(651) 731-1630
(651) 731-1635
Mailing address
6949 VALLEY CREEK RD, #130, WOODBURY, MN 55125-2253
(651) 732-1630
(651) 731-1635

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
7305
MN

Other

Enumeration date
04/03/2007
Last updated
07/08/2007
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