Organization
JAY KAPLAN DDS A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY S KAPLAN DDS (PRACTITIONER PRESIDENT)
(530) 542-4604
Entity
Organization
Contact information
Practice address
2209 SOUTH AVE STE C, SOUTH LAKE TAHOE, CA 96150
(530) 542-4604
(530) 542-9073
Mailing address
2209 SOUTH AVE STE C, SOUTH LAKE TAHOE, CA 96150
(530) 542-4604
(530) 542-9073
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
28942
CA
Other
Enumeration date
03/20/2008
Last updated
03/20/2008
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