Provider Demographics
NPI:1184171811
Name:LOWE, CECILIA M (DDS)
Entity type:Individual
Prefix:DR
First Name:CECILIA
Middle Name:M
Last Name:LOWE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2645 OCEAN AVE STE 203
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1646
Mailing Address - Country:US
Mailing Address - Phone:415-469-7777
Mailing Address - Fax:415-469-7772
Practice Address - Street 1:2645 OCEAN AVE STE 203
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1646
Practice Address - Country:US
Practice Address - Phone:415-469-7777
Practice Address - Fax:415-469-7772
Is Sole Proprietor?:No
Enumeration Date:2016-09-11
Last Update Date:2016-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44224122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist