Provider Demographics
NPI:1992879837
Name:GROZA, LIANA (DDS)
Entity type:Individual
Prefix:DR
First Name:LIANA
Middle Name:
Last Name:GROZA
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 1:504 W. 24TH AVE.
Mailing Address - Street 2:LIANA GROZA DDS PLLC
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99203
Mailing Address - Country:US
Mailing Address - Phone:509-481-3392
Mailing Address - Fax:
Practice Address - Street 1:12213 E. BROADWAY AVE #4
Practice Address - Street 2:(SPOKANE SLEEP APNEA AND ORAL-SYSTEMIC DENTISTRY)
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-6131
Practice Address - Country:US
Practice Address - Phone:509-290-6044
Practice Address - Fax:509-443-3928
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE000106731223G0001X
GADN0128781223G0001X
TX00211771223G0001X
SC35111223G0001X
VA04014108351223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice