Organization
CHIARAVALLI & MAXSON DDS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER CARMEN CHIARAVALLI D.D.S. (DENTIST/MEMBER)
(517) 485-5738
Entity
Organization
Contact information
Practice address
1500 W SAGINAW ST, LANSING, MI 48915-1380
(517) 485-5627
(517) 485-0169
Mailing address
1500 W SAGINAW ST, LANSING, MI 48915-1380
(517) 485-5627
(517) 485-0169
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/27/2011
Last updated
01/27/2011
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