Gavaldon, Irma

Gavaldon, Irma is an individual health care provider with primary practice located at G-3375 S. Saginaw St. , Burton MI 48529. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Gavaldon, Irma can be contacted via phone (810) 743-6830.

Contact Information

Primary practice address
G-3375 S. Saginaw St. Burton MI 48529
Fax: (810) 743-7102
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2901019338 Michigan

Profile Details

NPI number 1831360973
LBN Legal business name Gavaldon, Irma
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2008
Last updated Oct 20th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831360973 NPPES
Michigan Other 382406558 TAX ID

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