Provider Demographics
NPI:1376840405
Name:HERZBERG, KAYEE HO (DDS)
Entity Type:Individual
Prefix:DR
First Name:KAYEE
Middle Name:HO
Last Name:HERZBERG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:KAYEE
Other - Middle Name:
Other - Last Name:HO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:7631 SHAFFER PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127
Mailing Address - Country:US
Mailing Address - Phone:303-973-5280
Mailing Address - Fax:
Practice Address - Street 1:7631 SHAFFER PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127
Practice Address - Country:US
Practice Address - Phone:303-973-5280
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2018-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10684122300000X
CODEN.00010684122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist