Provider Demographics
NPI:1629266408
Name:DEL ROSARIO, MAY JACQUELINE NAVOA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MAY JACQUELINE
Middle Name:NAVOA
Last Name:DEL ROSARIO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:DR
Other - First Name:MAY JACQUELINE
Other - Middle Name:NAVOA
Other - Last Name:DEL ROSARIO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DMD
Mailing Address - Street 1:1724 W CATALPA AVE APT 312
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-4055
Mailing Address - Country:US
Mailing Address - Phone:714-812-5487
Mailing Address - Fax:714-533-6517
Practice Address - Street 1:1724 W CATALPA AVE APT 312
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4055
Practice Address - Country:US
Practice Address - Phone:714-812-5487
Practice Address - Fax:714-533-6517
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55860122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist