Individual
DR. JUAN C. CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1256 S STATE ST, SUITE 103, OREM, UT 84097-8237
(801) 224-7182
Mailing address
237 N 780 E, SALEM, UT 84653-5532
(801) 318-2289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
27894
TX
1223G0001X
General Practice Dentistry
Primary
3104344-9922
UT
Other
Enumeration date
03/07/2011
Last updated
12/09/2012
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