Provider Demographics
NPI:1912401605
Name:CARIN, JONATHAN STEVEN (DDS)
Entity Type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:STEVEN
Last Name:CARIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82 MARIPOSA AVE STE B
Mailing Address - Street 2:
Mailing Address - City:WATSONVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95076-2847
Mailing Address - Country:US
Mailing Address - Phone:831-724-7211
Mailing Address - Fax:
Practice Address - Street 1:82 MARIPOSA AVE STE B
Practice Address - Street 2:
Practice Address - City:WATSONVILLE
Practice Address - State:CA
Practice Address - Zip Code:95076-2847
Practice Address - Country:US
Practice Address - Phone:831-724-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0000000001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice