Provider Demographics
NPI:1508097726
Name:CARNU, OANA I (DDS)
Entity Type:Individual
Prefix:
First Name:OANA
Middle Name:I
Last Name:CARNU
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:OANA
Other - Middle Name:I
Other - Last Name:TODIRUTA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:9377 MILL ST
Mailing Address - Street 2:
Mailing Address - City:BEN LOMOND
Mailing Address - State:CA
Mailing Address - Zip Code:95005-9301
Mailing Address - Country:US
Mailing Address - Phone:831-336-2271
Mailing Address - Fax:
Practice Address - Street 1:9377 MILL ST
Practice Address - Street 2:
Practice Address - City:BEN LOMOND
Practice Address - State:CA
Practice Address - Zip Code:95005-9301
Practice Address - Country:US
Practice Address - Phone:831-336-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58542122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist