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1497319222
JESSICA BAISLEY
SANTA ROSA, CA
NPI
1497319222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: CA 104711)
Enumeration Date
2019-04-26
Last Update Date
2023-07-30
Business Address
JESSICA BAISLEY
1300 N DUTTON AVE
SANTA ROSA, CA 95401-0058
Phone number: 707-396-5151
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Mailing Address
JESSICA BAISLEY
3375 PARKGATE CT
RICHMOND, CA 94806-1989
Phone number: 510-367-0744
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