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Organization
LUIS E. CALIXTO D.D.S. INC.
Active
Organization
LUIS E. CALIXTO D.D.S. INC.
Active
Other names
BEAUTIFUL SMILE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS EDUARDO CALIXTO D.D.S. (PRESIDENT)
(619) 287-8437
Entity
Organization
Contact information
Practice address
6368 EL CAJON BLVD, SAN DIEGO, CA 92115-2643
(619) 287-8437
(619) 287-8028
Mailing address
6368 EL CAJON BLVD, SAN DIEGO, CA 92115-2643
(619) 287-8437
(619) 287-8028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B41363-01
MEDICAL
CA
Enumeration date
08/10/2007
Last updated
08/10/2007
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