Individual
MARGARET CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
421 WALNUT STREET, LA JARA, CO 81140
(719) 274-8948
Mailing address
1011 3RD ST, ALAMOSA, CO 81101-2406
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
00204075
CO
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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