Edward R Chavez DDS PC

NPI #1912062969 in Wheaton, Illinois

Provider Information

NPI Number: 1912062969
Entity Type: Organization
Organization Name: Edward R Chavez DDS PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 27, 2006
Last Updated: May 31, 2012

Practice Location

Address: 200 E WILLOW AVE
Address 2: SUITE 304
City: Wheaton
State: Illinois
ZIP Code: 60187-5463
Phone: (630) 510-0731

Authorized Official

Name: DR. EDWARD R CHAVEZ, DDS
Title: PRESIDENT
Phone: (630) 510-0731

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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