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Organization

JAMIE PAYCHEV DDS INC

Active
Other names
Stanford Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE PAYCHEV DDS (OWNER)
(650) 328-2072
Entity
Organization

Contact information

Practice address
150 MIDDLEFIELD RD STE 101, MENLO PARK, CA 94025-3685
(650) 328-2072
Mailing address
150 MIDDLEFIELD RD STE 101, MENLO PARK, CA 94025-3685
(650) 328-2072

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700371127
DENTAL
CA
Enumeration date
01/18/2023
Last updated
01/18/2023
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