Dr Carolyn R Baldiviez Dental Corporation

Specialty details in registry · Santa Maria, CA

Call (805) 925-8112 Directions

At a glance

111 E Park Ave, Santa Maria, CA 93454-6625

NPPES record updated May 4, 2026. Public records can lag behind changes at a practice.

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Practice location

111 E Park Ave
Santa Maria, CA 93454-6625

Professional details: NPI, taxonomy & registry record

NPI1639016959

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 1223G0001X
Enumeration date: May 4, 2026
Record updated: May 4, 2026

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

1223G0001X · Primary

Specialty details in registry

332BC3200X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

111 E Park Ave
Santa Maria, CA 93454-6625

Phone: (805) 925-8112

Mailing address

111 E PARK AVE

SANTA MARIA, CA 934546625

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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