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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACIELA SHIMIZU OLIVA, DDS, MSD

Active Sole Proprietor

GRACIELA SHIMIZU OLIVA, DDS, MSD is a Pediatric Dentistry healthcare provider located in MENLO PARK, California. NPI 1154625408 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · MENLO PARK, CA

Registration Details

NPI Number
1154625408
Provider Type
Individual
Gender
Female
NPI Issued
Dec 30, 2010 (15.579827949909 yrs)
Last Updated
Feb 6, 2014
Licenses
0401413018 (VA)
61883 (CA)
Sole Proprietor
Yes

Practice Information

Address
1300 UNIVERSITY DR
SUITE 1
MENLO PARK, CA, 940254203
Browse CA providers · Browse ZIP 94025
Phone
6506008206
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Pediatric Dentistry

Other Pediatric Dentistry Providers in MENLO PARK, CA

Name Credential NPI
DR. INDIRA KAUR GILL D.M.D., M.S. 1275552945
VERONICA G GONZALEZ DDS 1205284312
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.