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Organization
JOSE L CHAVIANO JR
Active
Organization
JOSE L CHAVIANO JR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE LUIS CHAVIANO JR. DMD (GENERAL DENTIST)
(305) 967-2175
Entity
Organization
Contact information
Practice address
1407 W 38TH ST, HIALEAH, FL 33012-4745
(305) 967-2175
Mailing address
1407 W 38TH ST, HIALEAH, FL 33012-4745
(305) 967-2175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN21485
FL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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