Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN60114202 | WA |
NPI | 1679880835 |
---|---|
Provider Name | Jennifer Marie Best-Navarro |
First Address | Silverdale, WA 98383-9149 |
Second Address | Silverdale, WA 98383-9149 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2010 |
Last Update Date | 09/09/2010 |