Provider Demographics
NPI:1801002217
Name:SCHULZE, DANIEL MARIE (DDS)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:MARIE
Last Name:SCHULZE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 MENLO AVE
Mailing Address - Street 2:SUITE # 8
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4747
Mailing Address - Country:US
Mailing Address - Phone:650-322-4943
Mailing Address - Fax:650-322-4435
Practice Address - Street 1:625 MENLO AVE
Practice Address - Street 2:SUITE # 8
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4747
Practice Address - Country:US
Practice Address - Phone:650-322-4943
Practice Address - Fax:650-322-4435
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADN0335151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice