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Organization
JOSEPH V CALDERONE JR DMD PA
Active
Organization
JOSEPH V CALDERONE JR DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V CALDERONE JR. DMD (PRESIDENT)
(386) 668-8600
Entity
Organization
Contact information
Practice address
415 SUMMERHAVEN DR, DEBARY, FL 32713-2716
(386) 668-8600
(386) 668-0031
Mailing address
415 SUMMERHAVEN DR, DEBARY, FL 32713-2716
(386) 668-8600
(386) 668-0031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN 9410
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60135
BLUE CROSS BLUE SHIELD
—
Enumeration date
01/02/2007
Last updated
08/22/2020
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