NPI | 1861906802 |
---|---|
Other Name | JOSE CHAVEZ FIGUEROA |
Entity Type | Organization |
Authorized Contact | JOSE CHAVEZ FIGUEROA Dentist 658-517-7445 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: ZZ 6299366) |
Enumeration Date | 2017-11-29 |
Last Update Date | 2017-11-29 |