Individual
MR. DAVID CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
358 EAST 76ST, LOS ANGELES, CA 90003
(323) 517-4546
Mailing address
358 E 76TH ST, LOS ANGELES, CA 90003-2322
(323) 517-4546
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
4481819
CA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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