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Individual

GAVIN P MONTALVO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2606 OSLER BLVD, BRYAN, TX 77802-2515
(979) 776-6600
Mailing address
1600 ELIZABETH CIR UNIT B, BRYAN, TX 77802-1725
(512) 410-9141

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38526
TX

Other

Enumeration date
06/07/2022
Last updated
01/14/2023
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