Organization
CALICDAN-STA.ANA DDS CORP
Active
Other names
Mount Hill Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL CALICDAN DDS (CFO)
(909) 981-5083
Entity
Organization
Contact information
Practice address
1227 W FOOTHILL BLVD, UPLAND, CA 91786-3681
(909) 981-5083
(909) 981-4213
Mailing address
1227 W FOOTHILL BLVD, UPLAND, CA 91786-3681
(909) 981-5083
(909) 981-4213
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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