Organization
R. TATE CHAUNCEY DMD MSD, PLLC
Active
Other names
Chauncey Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT TATE CHAUNCEY DMD MSD (OWNER)
(702) 306-1830
Entity
Organization
Contact information
Practice address
1465 E LAKE MEAD PKWY STE 140, HENDERSON, NV 89015-4631
(702) 306-1830
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
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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