MEDICARE: CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1770222879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHRISTINE NAVALES DDS A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	6388 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3050
Country	:	US
Telephone Number	:	702-288-7200
Fax Number	:

Provider Business Practice Location Address
First Line	:	6388 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-3050
Country	:	US
Telephone Number	:	702-288-7200
Fax Number	:

Authorized Official
Title or Position	:	DENTIST
Name	:	DR. CHRISTINE TOLENTINO NAVALES
Credential	:	DDS
Telephone Number	:	650-218-0972

Provider Enumeration Date	:	05/27/2022
Last Update Date	:	01/04/2023

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