Organization
CALVIN R DEVNICH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN RUSSELL DEVNICH DDS (PRESIDENT)
(818) 246-2253
Entity
Organization
Contact information
Practice address
1134 NORTH BRAND BLVD, GLENDALE, CA 91202
(818) 246-2253
(818) 246-2892
Mailing address
1134 NORTH BRAND BLVD, GLENDALE, CA 91202
(818) 246-2253
(818) 246-2892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18815
CA
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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