Provider Demographics
NPI:1164714978
Name:ZUBROW, JAMIE REBECCA (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:REBECCA
Last Name:ZUBROW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:REBECCA
Other - Last Name:ZUBROW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:15 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-2603
Mailing Address - Country:US
Mailing Address - Phone:650-697-9000
Mailing Address - Fax:
Practice Address - Street 1:15 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-2603
Practice Address - Country:US
Practice Address - Phone:650-697-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA617021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice