Healthcare Provider Details

I. General information

NPI: 1417264284
Provider Name (Legal Business Name): DEBORAH PLIVER DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DEBORAH SOLOMON

II. Dates (important events)

Enumeration Date: 09/01/2010
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

436 N ROXBURY DR STE 203
BEVERLY HILLS CA
90210-5017
US

IV. Provider business mailing address

436 N ROXBURY DR STE 203
BEVERLY HILLS CA
90210-5017
US

V. Phone/Fax

Practice location:
  • Phone: 310-926-6220
  • Fax:
Mailing address:
  • Phone: 310-926-6220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDDS101859
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: