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Organization
JAY VAIKUNTAM DDS PC
Active
Organization
JAY VAIKUNTAM DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
155 HICKORY ST NW STE A, ALBANY, OR 97321-1724
(541) 928-1509
(541) 928-1522
Mailing address
155 HICKORY ST NW STE A, ALBANY, OR 97321-1724
(541) 928-1509
(541) 928-1522
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
09/01/2026
Last updated
09/01/2026
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