Organization
LUIS E. CALIXTO D.D.S. INC.
Active
Other names
BEAUTIFUL SMILE DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS EDUARDO CALIXTO D.D.S. (PRESIDENT)
(619) 287-8437
Entity
Organization
Contact information
Practice address
6368 EL CAJON BLVD, SAN DIEGO, CA 92115-2643
(619) 287-8437
(619) 287-8028
Mailing address
6368 EL CAJON BLVD, SAN DIEGO, CA 92115-2643
(619) 287-8437
(619) 287-8028
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
41363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B41363-01
MEDICAL
CA
Enumeration date
08/10/2007
Last updated
08/10/2007
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