Individual
CHAFICATH TATIANA APONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
516 NIZHONI BLVD, GALLUP, NM 87301-5748
(505) 722-1560
(505) 722-1565
Mailing address
P.O. BOX 1337, GALLUP, NM 87305-1337
(505) 722-1560
(505) 722-1565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
57324
CA
126800000X
Dental Assistant
63088
CA
Other
Enumeration date
08/27/2008
Last updated
09/28/2009
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