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1154966323
LACEY CHAVEZ
BRICK, NJ
NPI
1154966323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NJ 22DI02781800)
Enumeration Date
2019-11-12
Last Update Date
2024-12-09
Business Address
LACEY CHAVEZ DDS
2770 HOOPER AVE UNIT 4
BRICK, NJ 08723-4160
Phone number: 732-965-3682
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Mailing Address
LACEY CHAVEZ DDS
321 E MAIN ST UNIT 1008
NORFOLK, VA 23510-1785
Phone number: 862-354-0554
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