Individual
JAMES ARISTO CHAVEZ GAYTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Mailing address
605 S COOLIDGE ST, MOSES LAKE, WA 98837-1873
(509) 765-0674
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH61558716
WA
Other
Enumeration date
05/24/2024
Last updated
12/27/2024
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