Individual
DR. LUIS CHAVEZ DE PAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, PHD
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1715
(860) 679-2719
Mailing address
151 S HIGHLAND ST # 2, WEST HARTFORD, CT 06119-1831
(860) 801-0788
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
741016
CT
Other
Enumeration date
08/18/2011
Last updated
08/18/2011
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