Individual
DR. JACQUELINE ALICIA CALCAGNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5627 OBERLIN DR STE 100, SAN DIEGO, CA 92121-3748
(858) 452-7272
Mailing address
13350 PACIFIC PL UNIT 2302, SAN DIEGO, CA 92130-8229
(732) 977-4568
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
15890
MD
1223P0221X
Pediatric Dentistry
Primary
104145
CA
Other
Enumeration date
05/26/2015
Last updated
08/08/2019
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