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Organization

M.L. AGUILAR CHAVEZ DENTAL, CORPORATION

Active
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Organization

M.L. AGUILAR CHAVEZ DENTAL, CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MYRNA L AGUILAR-CHAVEZ DDS (PRESIDENT/OWNER)
(858) 485-8801
Entity
Organization

Contact information

Practice address
15525 POMERADO RD STE C9, POWAY, CA 92064-2426
(858) 485-8801
(858) 485-9778
Mailing address
15525 POMERADO RD STE C9, POWAY, CA 92064-2426
(858) 485-8801
(858) 485-9778

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
CA

Other

Enumeration date
06/25/2015
Last updated
01/26/2018
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