Organization
SAN CARLOS ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNNE A BALDASSARI-CRUZ D.D.S. (PRESIDENT)
(650) 380-1337
Entity
Organization
Contact information
Practice address
1028 LAUREL ST, SAN CARLOS, CA 94070-3919
(650) 595-3722
(650) 595-3636
Mailing address
405 EL CAMINO REAL, #622, MENLO PARK, CA 94025-5240
(650) 595-3722
(650) 595-3636
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38395
CA
Other
Enumeration date
09/03/2013
Last updated
09/03/2013
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