MEDICARE: ANDREW W. ZEE, DDS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223P0221X	Pediatric Dentistry	23774	CA

General Provider Information

NPI Number	:	1730185042
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANDREW W. ZEE, DDS, INC.

Provider Business Mailing Address
First Line	:	51 RENATO CT
Second Line	:	STE B
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-4017
Country	:	US
Telephone Number	:	650-365-3430
Fax Number	:	650-365-2690

Provider Business Practice Location Address
First Line	:	51 RENATO CT
Second Line	:	STE B
City	:	REDWOOD CITY
State	:	CA
Zip	:	94061-4017
Country	:	US
Telephone Number	:	650-365-3430
Fax Number	:	650-365-2690

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ANDREW W ZEE
Credential	:	DDS
Telephone Number	:	650-365-3430

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	08/22/2020

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