Healthcare Provider Details

I. General information

NPI: 1003724659
Provider Name (Legal Business Name): CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2560 S MARYLAND PKWY
LAS VEGAS NV
89109-1695
US

IV. Provider business mailing address

4618 MEADOWS LN
LAS VEGAS NV
89107-2956
US

V. Phone/Fax

Practice location:
  • Phone: 720-200-9000
  • Fax:
Mailing address:
  • Phone: 702-200-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE TOLENTINO NAVALES
Title or Position: DENTIST
Credential: DDS
Phone: 650-218-0972