Provider Demographics
NPI:1437150257
Name:DELA PAZ, CARMELIZA OBANA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CARMELIZA
Middle Name:OBANA
Last Name:DELA PAZ
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 1:3774 S POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-1332
Mailing Address - Country:US
Mailing Address - Phone:303-753-0510
Mailing Address - Fax:
Practice Address - Street 1:7150 LEETSDALE DR
Practice Address - Street 2:STE 110A
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-3529
Practice Address - Country:US
Practice Address - Phone:303-321-1700
Practice Address - Fax:303-321-1784
Is Sole Proprietor?:No
Enumeration Date:2005-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCO78811223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice