| Carolyn R Baldiviez D D S Inc | |
|
111 E Park Ave Santa Maria CA 93454-6625 | |
| (805) 925-8112 | |
| Not Available |
| Full Name | Carolyn R Baldiviez D D S Inc |
|---|---|
| Speciality | Dentist |
| Location | 111 E Park Ave, Santa Maria, California |
| Authorized Official Name and Position | Carolyn R Baldiviez (OWNER) |
| Authorized Official Contact | 8059258112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn R Baldiviez D D S Inc 111 E Park Ave Santa Maria CA 93454-6625 Ph: (805) 925-8112 | Carolyn R Baldiviez D D S Inc 111 E Park Ave Santa Maria CA 93454-6625 Ph: (805) 925-8112 |
| NPI Number | 1265985642 |
|---|---|
| Provider Enumeration Date | 08/02/2016 |
| Last Update Date | 08/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265985642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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