Individual
MARY CHAGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
206 WILMAR AVE STE 4, GRAND ISLAND, NE 68803-3559
(308) 384-7500
Mailing address
1281 W 6TH ST APT 4307, PAPILLION, NE 68046-3188
(718) 702-7954
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8040
NE
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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