Individual
DR. EDMUND WALT JAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3737 MORAGA AVE, STE. B-300, SAN DIEGO, CA 92117-5404
(858) 270-0682
(858) 270-0685
Mailing address
3737 MORAGA AVE, STE. B-300, SAN DIEGO, CA 92117-5404
(858) 270-0682
(858) 270-0685
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
36384
CA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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