Individual
DR. BRENDA K. CAILLOUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, DDS, MSD
Contact information
Practice address
3936 LA JOLLA VILLAGE DR, LA JOLLA, CA 92037-1418
(858) 202-0393
Mailing address
2466 AZURE COAST DR, LA JOLLA, CA 92037-3508
(858) 222-2454
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
46565
CA
122300000X
Dentist
DN-16530
FL
122300000X
Dentist
DT-2186
HI
Other
Enumeration date
10/04/2006
Last updated
12/17/2009
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