Organization
VIRGINIA E GAVRIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIRGINIA GAVRIS (PRESIDENT)
(617) 527-0880
Entity
Organization
Contact information
Practice address
381 ELLIOT ST, SUITE 195L, NEWTON UPPER FALLS, MA 02464-1157
(617) 527-0880
(617) 964-2229
Mailing address
381 ELLIOT ST, SUITE 195L, NEWTON UPPER FALLS, MA 02464-1157
(617) 527-0880
(617) 964-2229
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
11/09/2006
Last updated
06/16/2008
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