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Organization
MARILYN R. CALVO, D.D.S. A DENTAL CORP
Active
Organization
MARILYN R. CALVO, D.D.S. A DENTAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILYN R. CALVO D.D.S. (PRESIDENT)
(818) 788-0905
Entity
Organization
Contact information
Practice address
16311 VENTURA BLVD, SUITE 527, ENCINO, CA 91436-2124
(818) 788-0905
(818) 788-1517
Mailing address
16311 VENTURA BLVD, SUITE 527, ENCINO, CA 91436-2124
(818) 788-0905
(818) 788-1517
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
28909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G93559-01
—
CA
Enumeration date
07/06/2011
Last updated
07/06/2011
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