Organization
LUZ A CHAVEZ DDS PC
Active
Other names
all family dentistry pc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SALVADOR R MALDONADO II SM (OFFICE MANANGER)
(704) 776-4278
Entity
Organization
Contact information
Practice address
1307 E FRANKLIN ST # TSUITEC, MONROE, NC 28112-5196
(704) 776-4278
(704) 776-4279
Mailing address
1307 E FRANKLIN ST # TSUITEC, MONROE, NC 28112-5196
(704) 776-4278
(704) 776-4279
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8880
NC
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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