Caldwell Professional Dental Corp.

NPI #1528163821 in Cypress, California

Provider Information

NPI Number: 1528163821
Entity Type: Organization
Organization Name: Caldwell Professional Dental Corp.
Primary Specialty: Dentist
Enumeration Date: Sep 13, 2006
Last Updated: Oct 17, 2008

Practice Location

Address: 5400 ORANGE AVE
Address 2: SUITE 250
City: Cypress
State: California
ZIP Code: 90630
Phone: (714) 821-6171

Authorized Official

Name: DR. TY D CALDWELL
Title: DENTIST
Phone: (714) 821-6171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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