Organization
EDNA CHAVIRA TOVAR
Active
Other names
Edna Chavira Tovar D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDNA CHAVIRA TOVAR D.D.S. (DENTIST)
(619) 488-3200
Entity
Organization
Contact information
Practice address
AV. A 5 N LOS ALGODONES, CENTRO COMERCIAL, LOS ALGODONES, CA 21970
(658) 517-7742
Mailing address
4275 EXECUTIVE SQUARE, STE 200, LA JOLLA, CA 92037-9123
(619) 488-3200
(866) 272-6924
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1737190
ZZ
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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