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NPI Code Detail

MEDICARE: DR. NAJIA GARDEZY D.D.S.

MEDICARE: DR. NAJIA GARDEZY D.D.S.
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
1122300000XDentist54888CA

General Provider Information

NPI Number : 1952597460
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAJIA GARDEZY D.D.S.
Provider Business Mailing Address
First Line : 825 CASANOVA AVE
Second Line : APARTMENT #83
City : MONTEREY
State : CA
Zip : 93940-6876
Country : US
Telephone Number : 619-277-0982
Fax Number :
Provider Business Practice Location Address
First Line : 10561 MERRITT ST
Second Line :
City : CASTROVILLE
State : CA
Zip : 95012-3310
Country : US
Telephone Number : 831-633-1514
Fax Number : 831-633-0311
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2007
Last Update Date : 12/16/2011

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