Individual
DR. CARLOS ENRIQUE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
9042 GARDEN GROVE BLVD STE 140, GARDEN GROVE, CA 92844-1370
(714) 638-8662
(714) 638-8664
Mailing address
9042 GARDEN GROVE BLVD STE 140, GARDEN GROVE, CA 92844-1370
(714) 638-8662
(714) 638-8664
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46037
CA
Other
Enumeration date
07/17/2006
Last updated
12/04/2017
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