Theresa Calcagno, DMD

NPI #1912906793 in Portland, Oregon

Provider Information

NPI Number: 1912906793
Entity Type: Individual
Name: Theresa Calcagno, DMD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 14, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 511 SW 10TH AVE.
Address 2: SUITE 704
City: Portland
State: Oregon
ZIP Code: 97205
Phone: (503) 227-2883

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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