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Individual

DR. DIANE RENEE CHAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D,.D.S

Contact information

Practice address
3700 BLUE SPRING RD NW STE F, HUNTSVILLE, AL 35810-3457
(256) 852-9994
Mailing address
P.O BOX 58, ITTA BENA, MS 38941
(337) 257-2388

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
10428
TN
1223G0001X
General Practice Dentistry
Primary
6689-C1
AL

Other

Enumeration date
08/28/2016
Last updated
07/17/2019
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