# CHIARAVALLI & MAXSON DDS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295031011
- **Authorized official:** DR. PETER CARMEN CHIARAVALLI D.D.S. (DENTIST/MEMBER)
- **Authorized official phone:** (517) 485-5738

## Contact information

- **Practice address:** 1500 W SAGINAW ST, LANSING, MI 48915-1380
- **Practice address phone:** (517) 485-5627
- **Practice address fax:** (517) 485-0169
- **Mailing address:** 1500 W SAGINAW ST, LANSING, MI 48915-1380
- **Mailing address phone:** (517) 485-5627
- **Mailing address fax:** (517) 485-0169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2011
- **Last updated:** 01/27/2011