Provider Demographics
NPI:1699760421
Name:NAVARRO, FLORA CRUZ (DMD)
Entity type:Individual
Prefix:MRS
First Name:FLORA
Middle Name:CRUZ
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11033 ROSECRANS AVE
Mailing Address - Street 2:STE D
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3656
Mailing Address - Country:US
Mailing Address - Phone:562-929-3083
Mailing Address - Fax:562-929-0113
Practice Address - Street 1:11033 ROSECRANS AVE
Practice Address - Street 2:STE D
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3656
Practice Address - Country:US
Practice Address - Phone:562-929-3083
Practice Address - Fax:562-929-0113
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33639122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist