Organization
EDMUND W. JAY, D.D.S.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDMUND WALT JAY D.D.S. (PRESIDENT / OWNER DENTIST)
(858) 270-0682
Entity
Organization
Contact information
Practice address
3737 MORAGA AVE, B-300, SAN DIEGO, CA 92117-5404
(858) 270-0682
(858) 270-0685
Mailing address
3737 MORAGA AVE, B-300, SAN DIEGO, CA 92117-5404
(858) 270-0682
(858) 270-0685
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
36384
CA
Other
Enumeration date
10/31/2010
Last updated
10/31/2010
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