Organization
CHAVES PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MANUEL CHAVES DDS (DENTIST/OWNER)
(818) 999-2707
Entity
Organization
Contact information
Practice address
5312 COMERCIO LN, SUITE A, WOODLAND HILLS, CA 91364-2026
(818) 999-2707
(818) 703-1998
Mailing address
5312 COMERCIO LN, SUITE A, WOODLAND HILLS, CA 91364-2026
(818) 999-2707
(818) 703-1998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
39383
CA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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