Individual
DR. ALFREDO RENE CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12401 OLIVE BLVD, CREVE COEUR, MO 63141-5448
(314) 275-9009
Mailing address
6529 CLAYTON AVE APT 2E, SAINT LOUIS, MO 63139-3368
(240) 498-7453
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
019027929
IL
1223G0001X
General Practice Dentistry
14777
MD
1223G0001X
General Practice Dentistry
Primary
2011013934
MO
1223G0001X
General Practice Dentistry
60918
CA
Other
Enumeration date
07/14/2008
Last updated
02/08/2012
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