Individual
DR. VICENTE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1111 SONOMA AVE STE 220, SANTA ROSA, CA 95405-4833
(707) 566-7300
(707) 566-7400
Mailing address
1111 SONOMA AVE STE 220, SANTA ROSA, CA 95405-4833
(707) 566-7300
(707) 566-7400
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DDS 54995
CA
Other
Enumeration date
04/12/2010
Last updated
06/16/2013
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