Calderon & Calderon Dental Implants
Dentist in Oceanside, NY. Organization (NPI-2).
NPI number1780806638
StatusActive
Last updated in NPPESMay 13, 2008
Details
- NPI
- 1780806638
- Entity type
- Organization (NPI-2)
- Legal business name
- Calderon & Calderon Dental Implants
- Organization subpart
- No
- Enumeration date
- May 2, 2007
- Last updated
- May 13, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 041073 | NY | Yes |
| 122300000X | Dentist | 045794 | NY |
Other names
- Ccdi (Doing Business As)
Practice location
3093 Brower AveOceanside, NY 11572
Phone 516-678-8690 · Fax 516-678-8692
Mailing address
3093 Brower AveOceanside, NY 11572
Phone 516-678-8690 · Fax 516-678-8692
Authorized official
Mine E Calderon
Dentist President
5166788690
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