Individual
DR. ROBERT TATE CHAUNCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, MSD
Contact information
Practice address
1465 E LAKE MEAD PKWY STE 140, HENDERSON, NV 89015-4631
(702) 330-4542
Mailing address
172 BRIGHTON HILLS AVE, HENDERSON, NV 89002-0527
(702) 306-1830
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
S3-369
NV
Other
Enumeration date
06/02/2021
Last updated
12/19/2023
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