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Organization
RICARDO CHAVEZ DDS PLLC
Active
Organization
RICARDO CHAVEZ DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO CHAVEZ DDS (PRESIDENT)
(915) 849-6380
Entity
Organization
Contact information
Practice address
11365 MONTWOOD DR, STE. B, EL PASO, TX 79936-3854
(915) 849-6380
(915) 849-6330
Mailing address
11365 MONTWOOD DR, STE. B, EL PASO, TX 79936-3854
(915) 849-6380
(915) 849-6330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22630
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
289222601
—
TX
Enumeration date
10/17/2016
Last updated
10/17/2016
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