Individual
GRACIELA SHIMIZU OLIVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
1300 UNIVERSITY DR, SUITE 1, MENLO PARK, CA 94025-4203
(650) 600-8206
Mailing address
1300 UNIVERSITY DR, SUITE 1, MENLO PARK, CA 94025-4203
(650) 600-8206
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
0401413018
VA
1223P0700X
Prosthodontics
Primary
61883
CA
Other
Enumeration date
12/30/2010
Last updated
02/06/2014
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