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Organization
DR CAROLYN R BALDIVIEZ DENTAL CORPORATION
Active
Organization
DR CAROLYN R BALDIVIEZ DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN R BALDIVIEZ DDS (PRESIDENT)
(805) 925-8112
Entity
Organization
Contact information
Practice address
111 E PARK AVE, SANTA MARIA, CA 93454-6625
(805) 925-8112
Mailing address
111 E PARK AVE, SANTA MARIA, CA 93454-6625
(805) 925-8112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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