Provider Demographics
NPI:1356529671
Name:GENEVIEVE DEE DDS
Entity type:Organization
Organization Name:GENEVIEVE DEE DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:650-343-1727
Mailing Address - Street 1:181 2ND AVE STE 575
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3838
Mailing Address - Country:US
Mailing Address - Phone:650-343-1727
Mailing Address - Fax:650-343-7464
Practice Address - Street 1:181 2ND AVE STE 575
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3838
Practice Address - Country:US
Practice Address - Phone:650-343-1727
Practice Address - Fax:650-343-7464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty