Individual
MRS. AMARINA ROSE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4441 DIPLOMACY DR, ANCHORAGE, AK 99508-5910
(907) 729-2000
Mailing address
585 MATTERHORN DR, PARK CITY, UT 84098-5236
(440) 221-6564
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
238690
AK
390200000X
Student in an Organized Health Care Education/Training Program
—
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/15/2023
Last updated
07/16/2025
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