Provider Demographics
NPI:1134326390
Name:CARTER, LIZA KARAMARDIAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:LIZA
Middle Name:KARAMARDIAN
Last Name:CARTER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:LIZA
Other - Middle Name:LENA
Other - Last Name:KARAMARDIAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:539 ROXBURY LN
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1139
Mailing Address - Country:US
Mailing Address - Phone:408-370-0115
Mailing Address - Fax:
Practice Address - Street 1:377 SANTANA ROW
Practice Address - Street 2:SUITE 1160
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2053
Practice Address - Country:US
Practice Address - Phone:408-557-8048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist