DR. Sandra Calleros, DDS

NPI #1316940315 in El Segundo, California

Provider Information

NPI Number: 1316940315
Entity Type: Individual
Name: DR. Sandra Calleros, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: May 23, 2005
Last Updated: Aug 19, 2015

Practice Location

Address: 131 W GRAND AVE
Address 2: SUITE B
City: El Segundo
State: California
ZIP Code: 90245-3738
Phone: (310) 414-9564

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X
Dentist	122300000X	Primary

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