Individual
DR. MARIE BEVERLY DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1516 STARDUST DR, WEST COVINA, CA 91790-4558
(626) 643-6911
Mailing address
1516 STARDUST DR, WEST COVINA, CA 91790-4558
(626) 643-6911
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
63959
CA
1223P0221X
Pediatric Dentistry
Primary
63959
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
63959
CA DENTAL LICENSE
CA
Enumeration date
05/04/2016
Last updated
03/02/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us