Individual
DAVID A. KAVANAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
15808 MILL CREEK BLVD STE 130, MILL CREEK, WA 98012-1500
(425) 745-0931
(425) 316-0395
Mailing address
15808 MILL CREEK BLVD STE 130, MILL CREEK, WA 98012-1500
(425) 745-0931
(425) 316-0395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6863
WA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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