Martha E Dovali, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

36917 Issued in CA

Practice address

1150 E Imperial Hwy
La Habra, CA 90631-7454

Phone

(714) 992-2200

Fax

(714) 992-2645

NPI assigned

Feb 28, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Suk Joong Lee DDS Inc

  dba Harbor Dental Care

  • Dental Clinic/Center
  • La Habra, CA
  • NPI 1841178811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861520215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 YALE ST",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917632242",
            "telephone_number": "562-673-8424",
            "fax_number": "909-621-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 E IMPERIAL HWY",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906317454",
            "telephone_number": "714-992-2200",
            "fax_number": "714-992-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOVALI",
        "first_name": "MARTHA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "36917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Dompreh-Mensah
• Kelley Dong
• Samuel W Doolittle, MD
• Douglas S. Daniels, D.M.D. Inc.
• Linda Douglass, AGACNP-BC
• Dr Kim Dental Corporation
• Dr. Barraza-Reyes, PHD, a Psychological Corporation
• Dr.Jatin P. Shah, D.D.S. , Inc. (Akshar Dental)
• DTM Investments LLC
• Deep R Dudeja, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in La Habra, CA
• Providers in La Habra, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.