Provider Demographics
NPI:1386712743
Name:CO, MARIA LUISA ALMAZAN (DDS)
Entity type:Individual
Prefix:DR
First Name:MARIA LUISA
Middle Name:ALMAZAN
Last Name:CO
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 1:288 E LIVE OAK AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-5629
Mailing Address - Country:US
Mailing Address - Phone:626-898-0008
Mailing Address - Fax:626-898-0011
Practice Address - Street 1:288 E LIVE OAK AVE UNIT C
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-5629
Practice Address - Country:US
Practice Address - Phone:626-898-0008
Practice Address - Fax:626-898-0011
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2008-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA495001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice