Provider Demographics
NPI:1982846440
Name:TARVER, ERIKA LASHEA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:LASHEA
Last Name:TARVER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 W WINCHESTER DR
Mailing Address - Street 2:APT4
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-3354
Mailing Address - Country:US
Mailing Address - Phone:909-435-8605
Mailing Address - Fax:
Practice Address - Street 1:301 W WINCHESTER DR
Practice Address - Street 2:APT4
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92376-3354
Practice Address - Country:US
Practice Address - Phone:909-435-8605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant