Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 2901009775 | MI |
NPI | 1063417244 |
---|---|
Provider Name | Dr. Donald Scott Navarro |
First Address | Montville, NJ 07045-9044 |
Second Address | Montville, NJ 07045-9044 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2005 |
Last Update Date | 08/07/2007 |