Provider Demographics
NPI:1780818401
Name:SCHEEL, KELEKALANI (DDS)
Entity Type:Individual
Prefix:
First Name:KELEKALANI
Middle Name:
Last Name:SCHEEL
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 1:2290 BIRCH STREET
Mailing Address - Street 2:STE A
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94306-1558
Mailing Address - Country:US
Mailing Address - Phone:650-503-6777
Mailing Address - Fax:
Practice Address - Street 1:2290 BIRCH ST
Practice Address - Street 2:STE A
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94306-1558
Practice Address - Country:US
Practice Address - Phone:650-503-6777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-08
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA56013122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist