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Organization

CALDWELL PROFESSIONAL DENTAL CORP.

Active
Other names
Ty Caldwell, DDS & Susan Caldwell, DDS
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TY D CALDWELL (DENTIST)
(714) 821-6171
Entity
Organization

Contact information

Practice address
5400 ORANGE AVE, SUITE 250, CYPRESS, CA 90630
(714) 821-6171
(714) 821-0230
Mailing address
5400 ORANGE AVE, SUITE 250, CYPRESS, CA 90630
(714) 821-6171
(714) 821-0230

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
032808
CA

Other

Enumeration date
09/13/2006
Last updated
10/17/2008
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