Individual
DR. MICHAEL KEVIN GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5680 LAKE MURRAY BLVD STE B, LA MESA, CA 91942-1905
(858) 208-6042
Mailing address
5680 LAKE MURRAY BLVD STE B, LA MESA, CA 91942-1905
(604) 285-8208
(619) 462-4312
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
37420
CA
Other
Enumeration date
08/31/2006
Last updated
12/27/2019
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