Provider Demographics
NPI:1386202414
Name:HSIEH, REBECCA P (DDS)
Entity Type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:P
Last Name:HSIEH
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 1:3349 WASHINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-5575
Mailing Address - Country:US
Mailing Address - Phone:858-216-5117
Mailing Address - Fax:
Practice Address - Street 1:163 MILLER AVE STE 2
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2759
Practice Address - Country:US
Practice Address - Phone:415-751-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-04
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1020941223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry