Individual
KEELY JANE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7905 MARBLE AVE NE, ALBUQUERQUE, NM 87110-7886
(505) 222-4600
(505) 232-5720
Mailing address
7905 MARBLE AVE NE, ALBUQUERQUE, NM 87110-7886
(505) 222-4600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DD3831
NM
1223G0001X
General Practice Dentistry
DEN4250
ME
Other
Enumeration date
06/19/2012
Last updated
06/22/2021
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