Provider Demographics
NPI:1639456544
Name:KRAUSZ, ECATERINA ANETTA (DDS)
Entity Type:Individual
Prefix:DR
First Name:ECATERINA
Middle Name:ANETTA
Last Name:KRAUSZ
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 1:6106 TEESDALE AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY GLEN
Mailing Address - State:CA
Mailing Address - Zip Code:91606-4425
Mailing Address - Country:US
Mailing Address - Phone:818-907-6736
Mailing Address - Fax:
Practice Address - Street 1:16542 VENTURA BLVD STE 505
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4576
Practice Address - Country:US
Practice Address - Phone:818-907-6736
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-05
Last Update Date:2011-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA419361223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice