Gavin, Michael Kevin
Gavin, Michael Kevin is an sole proprietor health care provider with primary practice located at 5680 Lake Murray Blvd Ste B , La Mesa CA 91942-1905. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Gavin, Michael Kevin can be contacted via phone (858) 208-6042.Contact Information
Primary practice address
5680 Lake Murray Blvd Ste B
La Mesa CA 91942-1905
Phone: (858) 208-6042
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Endodontics | 1223E0200X | 37420 | California |
Profile Details
NPI number | 1457462228 |
---|---|
LBN Legal business name | Gavin, Michael Kevin |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 31st, 2006 |
Last updated | Dec 27th, 2019 - about 5 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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