Individual
JAY KAPLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2209 SOUTH AVE, STE C, S LAKE TAHOE, CA 96150-7037
(530) 542-4604
(530) 542-9073
Mailing address
2209 SOUTH AVE, STE C, S LAKE TAHOE, CA 96150-7037
(530) 542-4604
(530) 542-9073
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS 28942
CA
Other
Enumeration date
09/08/2011
Last updated
10/17/2011
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