Provider Demographics
NPI:1255366639
Name:NARKIEWICZ, JAMILA MANGONDATO (DDS)
Entity type:Individual
Prefix:DR
First Name:JAMILA
Middle Name:MANGONDATO
Last Name:NARKIEWICZ
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 1:139 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5302
Mailing Address - Country:US
Mailing Address - Phone:408-942-1010
Mailing Address - Fax:408-942-5525
Practice Address - Street 1:139 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5302
Practice Address - Country:US
Practice Address - Phone:408-942-1010
Practice Address - Fax:408-942-5525
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA416451223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice