Individual
DANIEL ANTONIO CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2667 N WASHINGTON BLVD, NORTH OGDEN, UT 84414-2240
(801) 782-3920
Mailing address
539 W 230 N, LAYTON, UT 84041-3060
(801) 540-5648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12870290-9922
UT
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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