Individual
DR. DIANE CATHERINE SIZGORICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1411 W 7TH ST, SUITE C, SAN PEDRO, CA 90732-3522
(310) 831-8861
(310) 831-0010
Mailing address
1411 W 7TH ST, SUITE C, SAN PEDRO, CA 90732-3522
(310) 831-8861
(310) 831-0010
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
42422
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
975558
UNITED CONCORDIA
CA
Enumeration date
06/17/2006
Last updated
07/08/2007
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