Provider Demographics
NPI:1497850226
Name:NAVARRO, MARIA G (DDS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:G
Last Name:NAVARRO
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 1:2438 W 60 ST
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016
Mailing Address - Country:US
Mailing Address - Phone:305-558-6832
Mailing Address - Fax:305-558-1159
Practice Address - Street 1:2438 W 60 ST
Practice Address - Street 2:MARIA G NAVARRO DDS
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016
Practice Address - Country:US
Practice Address - Phone:305-558-6832
Practice Address - Fax:305-558-1159
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11079122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDN11079OtherLIC #
FLBG0862828OtherDEA #