Individual
DR. ANNA LIVIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
324 N SAN MATEO DR STE 2, SAN MATEO, CA 94401-2514
(650) 343-5555
(650) 343-2225
Mailing address
1161 BLYTHE ST, FOSTER CITY, CA 94404-3645
(650) 574-3366
(650) 343-2225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
42175
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B42175-01
—
CA
Enumeration date
07/16/2006
Last updated
03/01/2009
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