Provider Demographics
NPI:1407163561
Name:OLIVER, MALIZA CAHEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:MALIZA
Middle Name:CAHEE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:MALIZA
Other - Middle Name:EVITA
Other - Last Name:CAHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:3172 PADDINGTON WAY
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94582
Mailing Address - Country:US
Mailing Address - Phone:510-300-4728
Mailing Address - Fax:
Practice Address - Street 1:1404 MITCHELL RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95351
Practice Address - Country:US
Practice Address - Phone:209-537-7878
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-09
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59772122300000X
TX26039122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist