Individual
DOMENIC CAVALLARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2500 ALHAMBRA AVENUE, CONTRA COSTA REGIONAL MEDICAL CENTER AND HEALTH CENTERS, MARTINEZ, CA 94553-3156
(925) 370-5110
(925) 370-5142
Mailing address
50 DOUGLAS DRIVE, SUITE 391 HEALTH SERVICES ADMINISTRATION, MARTINEZ, CA 94553-4098
(925) 957-5429
(925) 957-5401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23718
CA
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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