Individual
ROBERT T CHIARITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4250 CERRILLOS RD, #1202, SANTA FE, NM 87507-4697
(505) 982-4867
(505) 424-8535
Mailing address
PO BOX 29476, 4250 CERRILLOS RD #1202, SANTA FE, NM 87592-9476
(505) 982-4867
(303) 789-6040
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DD2168
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03827071
—
NM
01
—
DD2168
STATE LICENCE
NM
Enumeration date
12/19/2005
Last updated
09/11/2013
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