Provider Demographics
NPI:1558197335
Name:ZEOLI, GIRIJA (DDS)
Entity type:Individual
Prefix:
First Name:GIRIJA
Middle Name:
Last Name:ZEOLI
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 1:333 EL CAMINO REAL APT 3201
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2458
Mailing Address - Country:US
Mailing Address - Phone:408-694-8661
Mailing Address - Fax:
Practice Address - Street 1:152 W EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-1303
Practice Address - Country:US
Practice Address - Phone:408-720-0900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA110491122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist