Provider Demographics
NPI:1013035930
Name:DEE, GENEVIEVE (DDS)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:DEE
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 1:181 2ND AVE STE 575
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3838
Mailing Address - Country:US
Mailing Address - Phone:650-343-1727
Mailing Address - Fax:650-343-7464
Practice Address - Street 1:181 2ND AVE STE 575
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3838
Practice Address - Country:US
Practice Address - Phone:650-343-1727
Practice Address - Fax:650-343-7464
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA376501223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice