Provider Demographics
NPI:1356848766
Name:PEREIRA NAVA, VERONICA S (DDS)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:S
Last Name:PEREIRA NAVA
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 1:7625 NW 100TH AVE
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-3433
Mailing Address - Country:US
Mailing Address - Phone:786-656-6367
Mailing Address - Fax:
Practice Address - Street 1:7625 NW 100TH AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178-3433
Practice Address - Country:US
Practice Address - Phone:786-656-6367
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL252291223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice