Provider Demographics
NPI:1720219827
Name:JONES, KATHARINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHARINE
Middle Name:
Last Name:JONES
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 1:540 RALSTON AVENUE
Mailing Address - Street 2:SUITE A
Mailing Address - City:BELMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94002-2866
Mailing Address - Country:US
Mailing Address - Phone:650-595-0913
Mailing Address - Fax:
Practice Address - Street 1:540 RALSTON AVENUE
Practice Address - Street 2:SUITE A
Practice Address - City:BELMONT
Practice Address - State:CA
Practice Address - Zip Code:94002-2866
Practice Address - Country:US
Practice Address - Phone:650-595-0913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist