Provider Demographics
NPI:1053578690
Name:NARVAEZ, MARIA ZITA (DDS)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:ZITA
Last Name:NARVAEZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303A ANASTASIA BLVD
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-4506
Mailing Address - Country:US
Mailing Address - Phone:904-810-2320
Mailing Address - Fax:
Practice Address - Street 1:303A ANASTASIA BLVD
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-4506
Practice Address - Country:US
Practice Address - Phone:904-810-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13476122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist