Provider Demographics
NPI:1447475389
Name:ISRAEL NAVARRO D. D. S., INC.
Entity type:Organization
Organization Name:ISRAEL NAVARRO D. D. S., INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-844-2955
Mailing Address - Street 1:80 N LAKE AVE
Mailing Address - Street 2:UNIT 103
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-5626
Mailing Address - Country:US
Mailing Address - Phone:626-844-2955
Mailing Address - Fax:626-844-2959
Practice Address - Street 1:80 N LAKE AVE
Practice Address - Street 2:UNIT 103
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-5626
Practice Address - Country:US
Practice Address - Phone:626-844-2955
Practice Address - Fax:626-844-2959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA449561223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty