Provider Demographics
NPI:1023224615
Name:VERANO-VO, ANNA MARIA CAVAN
Entity type:Individual
Prefix:DR
First Name:ANNA MARIA
Middle Name:CAVAN
Last Name:VERANO-VO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANNA MARIA
Other - Middle Name:MARIA
Other - Last Name:VERANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DMD
Mailing Address - Street 1:406 N. SAN MATEO DRIVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401
Mailing Address - Country:US
Mailing Address - Phone:650-342-9300
Mailing Address - Fax:
Practice Address - Street 1:406 N. SAN MATEO DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401
Practice Address - Country:US
Practice Address - Phone:650-342-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40899122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist