Individual
DR. CAROLYN R BALDIVIEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
111 E PARK AVE, SANTA MARIA, CA 93454-6625
(805) 925-8112
(805) 347-7703
Mailing address
111 E PARK AVE, SANTA MARIA, CA 93454-6625
(805) 925-8112
(805) 347-7703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
43290
CA
1223G0001X
General Practice Dentistry
43290
CA
Other
Enumeration date
07/06/2006
Last updated
05/04/2026
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