Glenn R Gavin, D.D.S.

NPI #1831202712 in Glen Ellyn, Illinois

Provider Information

NPI Number
1831202712
Entity Type
Individual
Name
Glenn R Gavin, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Aug 16, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
586 DUANE ST STE 101
ZIP Code
60137-4639
Phone
(630) 545-0151

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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