Individual
ELIZABETH CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
15495 TAMIAMI TRL N STE 125, NAPLES, FL 34110-6210
(239) 236-2141
Mailing address
3413 SW 1ST PL, CAPE CORAL, FL 33914-5096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25122
FL
Other
Enumeration date
07/06/2020
Last updated
08/17/2020
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