Provider Demographics
NPI:1578791430
Name:BARROW, NATASHA C (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATASHA
Middle Name:C
Last Name:BARROW
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 1:6747 BLEWETT AVE
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-6013
Mailing Address - Country:US
Mailing Address - Phone:917-293-6602
Mailing Address - Fax:
Practice Address - Street 1:6747 BLEWETT AVE
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-6013
Practice Address - Country:US
Practice Address - Phone:917-293-6602
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-30
Last Update Date:2023-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MADN1857519122300000X
CADDS105833122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist