Provider Demographics
NPI:1033768049
Name:KATZ, RAYMOND H (DMD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:H
Last Name:KATZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5233 GEARY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-2817
Mailing Address - Country:US
Mailing Address - Phone:415-751-7900
Mailing Address - Fax:415-751-7910
Practice Address - Street 1:5233 GEARY BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-2817
Practice Address - Country:US
Practice Address - Phone:415-751-7900
Practice Address - Fax:415-751-7910
Is Sole Proprietor?:No
Enumeration Date:2019-09-11
Last Update Date:2019-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA290671223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry