Provider Demographics
NPI:1366766859
Name:BARIZON, KARINE TENORIO LANDIM (MS)
Entity type:Individual
Prefix:
First Name:KARINE
Middle Name:TENORIO LANDIM
Last Name:BARIZON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 BROADWAY ST
Mailing Address - Street 2:APT H
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52240-7050
Mailing Address - Country:US
Mailing Address - Phone:319-400-8019
Mailing Address - Fax:
Practice Address - Street 1:S229 DENTAL SCIENCE BLDG
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-335-7338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-26
Last Update Date:2010-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA30281122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist