Calicdan-Sta.ana DDS Corp
NPI #1033325147 in Upland, California
Provider Information
- NPI Number
- 1033325147
- Entity Type
- Organization
- Organization Name
- Calicdan-Sta.ana DDS Corp
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 15, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1227 W FOOTHILL BLVD
- City
- Upland
- State
- California
- ZIP Code
- 91786-3681
- Phone
- (909) 981-5083
Authorized Official
- Name
- DR. CAROL CALICDAN, DDS
- Title
- CFO
- Phone
- (909) 981-5083
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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