Organization
BRANDON L CHAVEZ DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON L CHAVEZ DDS (DENTIST/OWNER)
(702) 580-9005
Entity
Organization
Contact information
Practice address
1300 N PROGRESS AVE, SILOAM SPRINGS, AR 72761-4077
(479) 524-6441
Mailing address
1300 N PROGRESS AVE, SILOAM SPRINGS, AR 72761-4077
(479) 524-6441
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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