Doctor Name: | DR. VIRGINIA GAVRIS |
NPI Number: | 1659402543 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.M.D. MPH |
License Number: | 17852 |
Business Practice Address: | 381 Elliot St Suite 195l Newton Upper Falls, MA - 024641157 |
Business Phone Number: | 6175270880 |
Business Fax Number: | 6179642229 |
Mailing Address: | 381 Elliot St, Suite 195l NEWTON UPPER FALLS |
State: | MA |
Postal Code: | 024641157 |
Phone Number: | 6175270880 |
Fax Number: | 6179642229 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 17852 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |