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Dr. Rutillo O. Chaves JR., DDS
General Practice Dentistry in Edmonds, Washington
NPI 1245320605

Rutillo O. Chaves JR. is a General Practice Dentistry based in Edmonds, WA and is specialized in General Practice. Rutillo O. Chaves JR. practices in Edmonds, WA and has the professional credentials of DDS. The NPI Number for Rutillo O. Chaves JR. is 1245320605 and holds a License No. 6200 (Washington).

The current practice location address for Rutillo O. Chaves JR. is 7631 212Th St Sw, Edmonds, WA and can be reached out via phone at 425-280-7792 and via fax at 425-742-4073. You can also correspond with Rutillo O. Chaves JR. through the mailing address at 7631 212TH ST SW, EDMONDS, WA - 98026-7565 (mailing address contact number: 425-280-7792).

Location: 7631 212Th St Sw, Edmonds, WA, 98026-7565
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245320605
Provider Name
Rutillo O. Chaves JR.
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
7631 212Th St Sw, Edmonds, WA, 98026-7565
Phone Number
425-280-7792
Fax Number
425-742-4073
Provider Enumeration Date
10/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
56200 01 WA WASHINGTON DENTAL SERVICE
institution
Provider Business Practice Location Address Details
Address
7631 212Th St Sw
City
Edmonds
State
Washington
Zip
98026-7565
Phone Number
425-280-7792
Fax Number
425-742-4073
person
Provider Business Mailing Address Details
Address
7631 212Th St Sw
City
Edmonds
State
Washington
Zip
98026-7565
Phone Number
425-280-7792
Fax Number
425-742-4073
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6200 (Washington)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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