Organization
RALPH A CALLENDER DDS CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH A CALLENDER SR. DDS (PRESIDENT)
(323) 296-6711
Entity
Organization
Contact information
Practice address
3701 STOCKER ST, SUITE 304, LOS ANGELES, CA 90008-5108
(323) 296-6711
(310) 645-5105
Mailing address
3701 STOCKER ST, SUITE 304, LOS ANGELES, CA 90008-5108
(323) 296-6711
(310) 645-5105
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
16884
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500179
—
CA
Enumeration date
07/25/2007
Last updated
07/25/2007
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