Individual
CALVIN CHASE BODMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4900 WHITTIER BLVD, LOS ANGELES, CA 90022-3115
(323) 780-0009
Mailing address
538 SONOMA ST, SAN MARCOS, CA 92078-4238
(760) 978-7085
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111114
CA
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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