Organization
BERNARD R. GAVRON D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD RAY GAVRON D.D.S. (PRESIDENT)
(505) 988-7356
Entity
Organization
Contact information
Practice address
465 ST. MICHAELS DR., STE 208, SANTA FE, NM 87505
(505) 988-7356
(505) 992-8950
Mailing address
465 ST. MICHAELS DR., STE 208, SANTA FE, NM 87505
(505) 988-7356
(505) 992-8950
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DD1602
NM
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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