Provider Demographics
NPI:1336268580
Name:MCKEE, CECILIA JAIME (DDS)
Entity Type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:JAIME
Last Name:MCKEE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:145 E DUARTE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3993
Mailing Address - Country:US
Mailing Address - Phone:626-446-2268
Mailing Address - Fax:626-446-2268
Practice Address - Street 1:145 E DUARTE RD
Practice Address - Street 2:SUITE C
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3993
Practice Address - Country:US
Practice Address - Phone:62-644-6226
Practice Address - Fax:626-446-2268
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA414801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice