Provider Demographics
NPI:1245386416
Name:CAOILI, ELIZABETH LLOREN (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LLOREN
Last Name:CAOILI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4380 SONOMA BLVD
Mailing Address - Street 2:SUITE 177
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2266
Mailing Address - Country:US
Mailing Address - Phone:707-643-5709
Mailing Address - Fax:707-649-9342
Practice Address - Street 1:4380 SONOMA BLVD
Practice Address - Street 2:SUITE 177
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2266
Practice Address - Country:US
Practice Address - Phone:707-643-5709
Practice Address - Fax:707-649-9342
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA405501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice