Juan C. Chavez, D.m.d., P.l.l.c

NPI #1730586355 in Provo, Utah

Provider Information

NPI Number: 1730586355
Entity Type: Organization
Organization Name: Juan C. Chavez, D.m.d., P.l.l.c
Primary Specialty: Dentist
Enumeration Date: Nov 25, 2014
Last Updated: Nov 25, 2014

Practice Location

Address: 2520 N UNIVERSITY AVE STE 101
City: Provo
State: Utah
ZIP Code: 84604-6081
Phone: (801) 426-6255

Authorized Official

Name: MRS. JESSIE L KITCHEN
Title: INSURANCE COORDINATOR
Phone: (801) 305-3460

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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