Provider Demographics
NPI:1841520574
Name:GARVEY, CHRISTINE A (RDH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:GARVEY
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6601 COWBOY TRL
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-2915
Mailing Address - Country:US
Mailing Address - Phone:702-658-6713
Mailing Address - Fax:
Practice Address - Street 1:3074 ARVILLE ST
Practice Address - Street 2:CLINC
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-7490
Practice Address - Country:US
Practice Address - Phone:702-889-3763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-31
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3419124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist