Provider Demographics
NPI:1720358864
Name:LOW, ELIZABETH JOANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:JOANNE
Last Name:LOW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JOANNE
Other - Middle Name:
Other - Last Name:LOW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:20480 PACIFICA DR STE E2
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3015
Mailing Address - Country:US
Mailing Address - Phone:408-255-2935
Mailing Address - Fax:408-255-6492
Practice Address - Street 1:20480 PACIFICA DR STE E2
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3015
Practice Address - Country:US
Practice Address - Phone:408-255-2935
Practice Address - Fax:408-255-6492
Is Sole Proprietor?:No
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA366751223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics