| Jose L Chaviano Jr | |
|
1407 W 38th St Hialeah FL 33012-4745 | |
| (305) 967-2175 | |
| Not Available |
| Full Name | Jose L Chaviano Jr |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1407 W 38th St, Hialeah, Florida |
| Authorized Official Name and Position | Jose Luis Chaviano (GENERAL DENTIST) |
| Authorized Official Contact | 3059672175 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose L Chaviano Jr 1407 W 38th St Hialeah FL 33012-4745 Ph: (305) 967-2175 | Jose L Chaviano Jr 1407 W 38th St Hialeah FL 33012-4745 Ph: (305) 967-2175 |
| NPI Number | 1902275647 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902275647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN21485 (Florida) | Primary |
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