Provider Demographics
NPI:1770222879
Name:CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION
Other - Org Name:ADCO DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:TOLENTINO
Authorized Official - Last Name:NAVALES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-218-0972
Mailing Address - Street 1:6388 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-3050
Mailing Address - Country:US
Mailing Address - Phone:702-288-7200
Mailing Address - Fax:
Practice Address - Street 1:6388 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-3050
Practice Address - Country:US
Practice Address - Phone:702-288-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-27
Last Update Date:2023-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty
No1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Multi-Specialty