Individual
MATTHEW CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3465 E MERIDIAN PARK LOOP STE A, WASILLA, AK 99654-7264
(907) 373-6670
Mailing address
3465 E MERIDIAN PARK LOOP STE A, WASILLA, AK 99654-7264
(907) 373-6670
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
226577
AK
Other
Enumeration date
04/10/2020
Last updated
07/11/2024
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