Provider Demographics
NPI:1124216007
Name:NARVAEZ, ARELVIS A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ARELVIS
Middle Name:A
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23601 AVALON BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CARSON
Mailing Address - State:CA
Mailing Address - Zip Code:90745-5520
Mailing Address - Country:US
Mailing Address - Phone:310-233-2525
Mailing Address - Fax:310-233-2530
Practice Address - Street 1:23601 AVALON BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:CARSON
Practice Address - State:CA
Practice Address - Zip Code:90745-5520
Practice Address - Country:US
Practice Address - Phone:310-233-2525
Practice Address - Fax:310-233-2530
Is Sole Proprietor?:No
Enumeration Date:2007-10-04
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56354122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist