Provider Demographics
NPI:1508873456
Name:NAVAS, ALVARO (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALVARO
Middle Name:
Last Name:NAVAS
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 1:5469 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1806
Mailing Address - Country:US
Mailing Address - Phone:562-982-1333
Mailing Address - Fax:562-497-2549
Practice Address - Street 1:5469 E CARSON ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90808-1806
Practice Address - Country:US
Practice Address - Phone:562-982-1333
Practice Address - Fax:562-497-2549
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA249091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice