Organization
EDWARD R CHAVEZ DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD R CHAVEZ DDS (PRESIDENT)
(630) 510-0731
Entity
Organization
Contact information
Practice address
200 E WILLOW AVE, SUITE 304, WHEATON, IL 60187-5463
(630) 510-0731
(630) 510-9779
Mailing address
200 E WILLOW AVE, SUITE 304, WHEATON, IL 60187-5447
(630) 510-0731
(630) 510-9779
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019017516
IL
Other
Enumeration date
12/27/2006
Last updated
05/31/2012
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