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Organization
JAY VAIKUNTAM DDS PC
Active
Organization
JAY VAIKUNTAM DDS PC
Active
Parent organization
JAY VAIKUNTAM DDS PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAY VAIKUNTAM DDS PC
Authorized official
CASSANDRA WIETH (DIRECTOR OF PAYER RELATIONS)
(623) 267-8121
Entity
Organization
Contact information
Practice address
2020 COMMERCIAL ST SE, SALEM, OR 97302-5208
(503) 364-7545
(503) 540-7911
Mailing address
2020 COMMERCIAL ST SE, SALEM, OR 97302-5208
(503) 364-7545
(503) 540-7911
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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