Individual
DR. AMY MICHELLE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
781 S COTTON LN, SUITE 100, GOODYEAR, AZ 85338-4643
(623) 882-3636
Mailing address
781 S COTTON LN, SUITE 100, GOODYEAR, AZ 85338-4643
(623) 882-3636
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008730
AZ
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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