Provider Demographics
NPI:1366204323
Name:CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:TOLENTINO
Authorized Official - Last Name:NAVALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-218-0972
Mailing Address - Street 1:4618 MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89107-2956
Mailing Address - Country:US
Mailing Address - Phone:702-200-9000
Mailing Address - Fax:
Practice Address - Street 1:6965 S RAINBOW BLVD STE 140
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89118-3280
Practice Address - Country:US
Practice Address - Phone:702-200-9000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty