Healthcare Provider Details

I. General information

NPI: 1932237732
Provider Name (Legal Business Name): KAREN L. YEE D.D.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 N SAN MATEO DR SUITE 7
SAN MATEO CA
94401-2624
US

IV. Provider business mailing address

256 N SAN MATEO DR SUITE 7
SAN MATEO CA
94401-2624
US

V. Phone/Fax

Practice location:
  • Phone: 650-344-8378
  • Fax: 650-344-8360
Mailing address:
  • Phone: 650-344-8378
  • Fax: 650-344-8360

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number41330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: