Provider Demographics
NPI:1639202484
Name:CHEE, MARTIN A (DDS)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:A
Last Name:CHEE
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 1:1490 MASON ST
Mailing Address - Street 2:CHINATOWN HEALTH CENTER - DENTAL CLINIC
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-4222
Mailing Address - Country:US
Mailing Address - Phone:415-397-6453
Mailing Address - Fax:415-291-8794
Practice Address - Street 1:500 SUTTER ST STE 523
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-1114
Practice Address - Country:US
Practice Address - Phone:415-364-7636
Practice Address - Fax:415-397-9523
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA29228122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist