Individual
CARLOS CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
285 HIGH ST, PERTH AMBOY, NJ 08861-4405
(732) 826-0410
Mailing address
285 HIGH ST, PERTH AMBOY, NJ 08861-4405
(732) 826-0410
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02718700
NJ
Other
Enumeration date
10/02/2018
Last updated
08/30/2023
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