Organization
CAROLYN R BALDIVIEZ D D S INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN R BALDIVIEZ DDS (OWNER)
(805) 925-8112
Entity
Organization
Contact information
Practice address
111 E PARK AVE, SANTA MARIA, CA 93454-6625
(805) 925-8112
Mailing address
111 E PARK AVE, SANTA MARIA, CA 93454-6625
(805) 925-8112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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