Organization
A. GAVIN MCCLURE, D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUSTIN GAVIN MCCLURE D.D.S. (PRESIDENT)
(831) 426-1343
Entity
Organization
Contact information
Practice address
304 LINCOLN ST, SANTA CRUZ, CA 95060-4333
(831) 426-1343
Mailing address
304 LINCOLN ST, SANTA CRUZ, CA 95060-4333
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38446
CA
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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