Individual
MISS AVA NAVASERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 WATERSIDE PLZ, 9C, NEW YORK, NY 10010-2612
(774) 312-3886
Mailing address
20 WATERSIDE PLZ, 9C, NEW YORK, NY 10010-2612
(774) 312-3886
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
102657
CA
Other
Enumeration date
04/04/2017
Last updated
03/09/2020
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