Individual
DR. MICHAEL A GAVINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 HIGHWAY 88, NORTHGATE OFFICE PARK, SUITE 115, MINNEAPOLIS, MN 55418-4223
(612) 789-1373
(612) 789-1373
Mailing address
2500 HIGHWAY 88, NORTHGATE OFFICE PARK, SUITE 115, MINNEAPOLIS, MN 55418-4223
(612) 789-1373
(612) 789-1373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9604
MN
Other
Enumeration date
12/25/2006
Last updated
07/08/2007
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