Organization
JAY E. BAUMAN D.D.S., A PROFESSIONAL DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY E. BAUMAN D.D.S. (PRESIDENT)
(714) 532-0888
Entity
Organization
Contact information
Practice address
1110 E CHAPMAN AVE STE 102, ORANGE, CA 92866-2145
(714) 532-0888
(714) 532-0066
Mailing address
1110 E CHAPMAN AVE STE 102, ORANGE, CA 92866-2145
(714) 532-0888
(714) 532-0066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38491
CA
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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