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Individual

DR. DENNIS TERRAK CALVERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
150 N JACKSON AVE, SUITE 210, SAN JOSE, CA 95116-1908
(408) 272-7600
(408) 272-7621
Mailing address
150 N JACKSON AVE, SUITE 210, SAN JOSE, CA 95116-1908
(408) 272-7600
(408) 272-7621

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
52350
CA

Other

Enumeration date
03/11/2009
Last updated
03/11/2009
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