Individual
BRENDA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12320 N 32ND ST, SUITE 1, PHOENIX, AZ 85032-7154
(602) 992-1384
(602) 992-6104
Mailing address
1009 E KERRY LN, PHOENIX, AZ 85024-2309
(602) 405-1499
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H2105
AZ
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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