Individual
DR. MAURICIO CHAVES CAROTA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5700 ARNOLD ST, TINKER AFB, OK 73145-8105
(405) 736-2000
Mailing address
777 N AIR DEPOT BLVD, MIDWEST CITY, OK 73110-3786
(405) 455-5538
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
047917-1
NY
1223P0700X
Prosthodontics
047917-1
NY
Other
Enumeration date
11/28/2005
Last updated
09/11/2025
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