Individual
DR. ELENITA B. LIWANAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
144 W CARSON ST, CARSON, CA 90745-2601
(310) 835-4088
(310) 835-8488
Mailing address
144 W CARSON ST, CARSON, CA 90745-2601
(310) 835-4088
(310) 835-8488
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
38963
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790798684
NPI CORPORATE
ND
Enumeration date
11/19/2007
Last updated
11/19/2007
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