Individual
LEVI LOUIS KEMPER-CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
224 W.D.L. INGRAM AVE, CLOVIS, NM 88103
(575) 784-2778
Mailing address
2819 TRAMWAY CIR NE, ALBUQUERQUE, NM 87122-2240
(505) 967-5117
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DB-2023-0101
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2023
Last updated
07/31/2024
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