Provider Demographics
NPI:1427243781
Name:VALDE, JANE DAYOAN (DDS)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:DAYOAN
Last Name:VALDE
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 1:3455 PACIFIC BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94403-2836
Mailing Address - Country:US
Mailing Address - Phone:650-571-9300
Mailing Address - Fax:650-571-8890
Practice Address - Street 1:3455 PACIFIC BLVD
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94403-2836
Practice Address - Country:US
Practice Address - Phone:650-571-9300
Practice Address - Fax:650-571-8890
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA447941223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice