Michael Gavin, DDS Valid NPI
Individual provider · General Practice Dentistry · Onalaska, WI
- NPI
- 1194818922
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 7149 (WI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-10-02
- Last updated
- 2007-07-08
Practice location
1637 Main St
Onalaska, WI 54650-2853
(608) 781-3999