Provider Demographics
NPI:1790908994
Name:GEE, KEITH K JR (DDS)
Entity Type:Individual
Prefix:DR
First Name:KEITH
Middle Name:K
Last Name:GEE
Suffix:JR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3221 JEFFERSON AVE
Mailing Address - Street 2:SUITE #1
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94062-3067
Mailing Address - Country:US
Mailing Address - Phone:650-366-0998
Mailing Address - Fax:650-366-0367
Practice Address - Street 1:3221 JEFFERSON AVE
Practice Address - Street 2:SUITE #1
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-3067
Practice Address - Country:US
Practice Address - Phone:650-366-0998
Practice Address - Fax:650-366-0367
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45692122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist