Healthcare Provider Details

I. General information

NPI: 1578791430
Provider Name (Legal Business Name): NATASHA C BARROW DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2009
Last Update Date: 01/24/2023
Certification Date: 01/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6747 BLEWETT AVE
VAN NUYS CA
91406-6013
US

IV. Provider business mailing address

6747 BLEWETT AVE
VAN NUYS CA
91406-6013
US

V. Phone/Fax

Practice location:
  • Phone: 917-293-6602
  • Fax:
Mailing address:
  • Phone: 917-293-6602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN1857519
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS105833
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: