Individual
DR. DANIEL E CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7161 EAST AVE, RANCHO CUCAMONGA, CA 91739-5915
(323) 564-2444
(323) 249-7565
Mailing address
7161 EAST AVE, RANCHO CUCAMONGA, CA 91739-5915
(323) 249-7565
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
53199
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D53199
—
CA
Enumeration date
01/26/2007
Last updated
07/09/2007
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