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Individual

NAVID O NEWPORT

Active
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Individual

NAVID O NEWPORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1258
AK
122300000X
Dentist
Primary
DE00010688
WA
1223P0221X
Pediatric Dentistry
D9524
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1959872
UNITED CONCORDIA
—
05
—
500636537
—
OR
05
—
5058136
—
WA
05
—
DD4177
—
AK
Enumeration date
10/13/2006
Last updated
09/14/2018
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