Most Relevant Information
Provider Data
| NPI Number: | 1003196221 |
| Provider Name: | LUIS CHAVEZ DE PAZ DDS, MS, PHD |
| Entity Type: | Individual |
| Taxonomy Code: | 1223E0200X |
| Specialty: | Dentist |
| License Number: | 741016 |
Most Important Dates
| Enumeration Date: | 08/18/2011 |
| Last Updated: | 08/18/2011 |
Provider Practice Location
263 FARMINGTON AVE
FARMINGTON
CT
060301715
Practice Location Phone/Fax
| Phone: | 8606792719 |
| Fax: |
Provider Mailing Location
151 S HIGHLAND ST # 2
WEST HARTFORD
CT
061191831
Provider Mailing Phone/Fax
| Phone: | 8608010788 |
| Fax: |