Healthcare Provider Details

I. General information

NPI: 1124216007
Provider Name (Legal Business Name): ARELVIS A. NARVAEZ DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2007
Last Update Date: 09/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23601 AVALON BLVD SUITE 101
CARSON CA
90745-5520
US

IV. Provider business mailing address

23601 AVALON BLVD SUITE 101
CARSON CA
90745-5520
US

V. Phone/Fax

Practice location:
  • Phone: 310-233-2525
  • Fax: 310-233-2530
Mailing address:
  • Phone: 310-233-2525
  • Fax: 310-233-2530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number56354
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: