Individual
FABIOLA CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDA
Contact information
Practice address
1730 SEPULVEDA BLVD, SUITE #1, TORRANCE, CA 90501-5645
(310) 325-8888
(310) 325-3024
Mailing address
1730 SEPULVEDA BLVD, SUITE #1, TORRANCE, CA 90501-5645
(310) 325-8888
(310) 325-3024
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
65997
CA
Other
Enumeration date
12/18/2008
Last updated
12/18/2008
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