Organization
GARY CHAFFEE DDS, INC.
Active
Other names
Paraiso Family Dental and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY DUANE CHAFFEE DDS (PRESIDENT)
(805) 480-0033
Entity
Organization
Contact information
Practice address
350 VIA LAS BRISAS, 210, NEWBURY PARK, CA 91320-7034
(805) 480-0033
Mailing address
350 VIA LAS BRISAS, SUITE 210, NEWBURY PARK, CA 91320-7034
(805) 480-0033
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25371
CA
Other
Enumeration date
04/03/2007
Last updated
05/24/2012
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