Provider Demographics
NPI:1972869022
Name:VADOVIC, NAGHMEH (DMD)
Entity Type:Individual
Prefix:
First Name:NAGHMEH
Middle Name:
Last Name:VADOVIC
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9211 GARLAND RD APT 6132
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75218-3671
Mailing Address - Country:US
Mailing Address - Phone:520-838-4716
Mailing Address - Fax:
Practice Address - Street 1:9211 GARLAND RD APT 6132
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75218-3671
Practice Address - Country:US
Practice Address - Phone:520-838-4716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-03
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program