Organization
HDU DENTAL SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERNESTO E CHAVEZ (PRESIDENT)
(619) 754-3367
Entity
Organization
Contact information
Practice address
371 I ST APT C, CHULA VISTA, CA 91910-5624
(619) 754-3367
Mailing address
371 I ST APT C, CHULA VISTA, CA 91910-5624
(619) 754-3367
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/30/2016
Last updated
05/30/2016
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