Organization
JAMES C. BAWDEN III, D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES CLINTON BAWDEN III D.D.S. (OWNER/PRESIDENT)
(707) 429-9550
Entity
Organization
Contact information
Practice address
1700 PENNSYLVANIA AVE, SUITE D., FAIRFIELD, CA 94533-3588
(707) 429-9550
(707) 429-1465
Mailing address
1700 PENNSYLVANIA AVE, SUITE D., FAIRFIELD, CA 94533-3588
(707) 429-9550
(707) 429-1465
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
CA 25119
CA
Other
Enumeration date
08/07/2006
Last updated
08/22/2020
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