Provider Demographics
NPI:1386626885
Name:NAVARRO, ISRAEL ANGELES (DDS)
Entity Type:Individual
Prefix:DR
First Name:ISRAEL
Middle Name:ANGELES
Last Name:NAVARRO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 N LAKE AVE
Mailing Address - Street 2:103
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-5626
Mailing Address - Country:US
Mailing Address - Phone:626-844-2955
Mailing Address - Fax:626-844-2959
Practice Address - Street 1:80 N LAKE AVE
Practice Address - Street 2:103
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-5626
Practice Address - Country:US
Practice Address - Phone:626-844-2955
Practice Address - Fax:626-844-2959
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA449561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice