# EDNA CHAVIRA TOVAR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edna Chavira Tovar D.D.S.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770090987
- **Authorized official:** MRS. EDNA CHAVIRA TOVAR D.D.S. (DENTIST)
- **Authorized official phone:** (619) 488-3200

## Contact information

- **Practice address:** AV. A 5 N LOS ALGODONES, CENTRO COMERCIAL, LOS ALGODONES, CA 21970
- **Practice address phone:** (658) 517-7742
- **Mailing address:** 4275 EXECUTIVE SQUARE, STE 200, LA JOLLA, CA 92037-9123
- **Mailing address phone:** (619) 488-3200
- **Mailing address fax:** (866) 272-6924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 1737190 | ZZ | Yes |

## Other

- **Enumeration date:** 01/09/2018
- **Last updated:** 01/09/2018