Individual
KEELY CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
192 S COLLINS RD, SUNNYVALE, TX 75182-4633
(972) 591-8016
Mailing address
1005 LONG PRAIRIE RD STE 100, FLOWER MOUND, TX 75022-4232
(512) 633-3423
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
36261
TX
Other
Enumeration date
07/08/2020
Last updated
05/08/2023
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