Individual
CAROL CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
151 LARCHMONT DR, SAN ANTONIO, TX 78209-4268
(830) 423-6762
Mailing address
PO BOX 6987, SAN ANTONIO, TX 78209-0987
(830) 423-6762
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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