Organization
JAY K. BALDWIN D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON TYLER BALDWIN D.D.S. (TREASURER)
(408) 227-0910
Entity
Organization
Contact information
Practice address
5758 SANTA TERESA BLVD, SAN JOSE, CA 95123-4540
(408) 227-0910
Mailing address
5758 SANTA TERESA BLVD, SAN JOSE, CA 95123-4540
(408) 227-0910
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
52826
CA
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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