Provider Demographics
NPI:1922574482
Name:D. BARIZO DDS INC
Entity Type:Organization
Organization Name:D. BARIZO DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BARIZO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:818-831-3365
Mailing Address - Street 1:17075 DEVONSHIRE ST STE 308
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-5420
Mailing Address - Country:US
Mailing Address - Phone:818-831-3365
Mailing Address - Fax:818-831-3428
Practice Address - Street 1:17075 DEVONSHIRE ST STE 308
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-5420
Practice Address - Country:US
Practice Address - Phone:818-831-3365
Practice Address - Fax:818-831-3428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1255479721OtherORIGINAL NPI NUMBER ASSOCIATED WITH DR. BARIZO