Provider Demographics
NPI:1952597460
Name:GARDEZY, NAJIA (DDS)
Entity type:Individual
Prefix:DR
First Name:NAJIA
Middle Name:
Last Name:GARDEZY
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 1:825 CASANOVA AVE
Mailing Address - Street 2:APARTMENT #83
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6876
Mailing Address - Country:US
Mailing Address - Phone:619-277-0982
Mailing Address - Fax:
Practice Address - Street 1:10561 MERRITT ST
Practice Address - Street 2:
Practice Address - City:CASTROVILLE
Practice Address - State:CA
Practice Address - Zip Code:95012-3310
Practice Address - Country:US
Practice Address - Phone:831-633-1514
Practice Address - Fax:831-633-0311
Is Sole Proprietor?:No
Enumeration Date:2007-09-18
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA54888122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist