| Jay Kaplan Dds A Professional Corporation | |
|
2209 South Ave Ste C South Lake Tahoe CA 96150 | |
| (530) 542-4604 | |
| (530) 542-9073 |
| Full Name | Jay Kaplan Dds A Professional Corporation |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2209 South Ave Ste C, South Lake Tahoe, California |
| Authorized Official Name and Position | Jay S Kaplan (PRACTITIONER PRESIDENT) |
| Authorized Official Contact | 5305424604 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Kaplan Dds A Professional Corporation 2209 South Ave Ste C South Lake Tahoe CA 96150 Ph: (530) 542-4604 | Jay Kaplan Dds A Professional Corporation 2209 South Ave Ste C South Lake Tahoe CA 96150 Ph: (530) 542-4604 |
| NPI Number | 1740451400 |
|---|---|
| Provider Enumeration Date | 03/20/2008 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740451400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 28942 (California) | Primary |
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