Provider Demographics
NPI:1275613580
Name:DIZON, MARIA CHRISTINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CHRISTINA
Last Name:DIZON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11509 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-2309
Mailing Address - Country:US
Mailing Address - Phone:818-753-4800
Mailing Address - Fax:818-753-4820
Practice Address - Street 1:11509 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-2309
Practice Address - Country:US
Practice Address - Phone:818-753-4800
Practice Address - Fax:818-753-4820
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA435931223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice