Organization
ANTHONY P VARBONCOEUR DDC INC & CORTLAND S CALDEMEYER DDS APC GP
Active
Other names
P.Thomas Hiser DDS, MS, Inc. - Anthony P. Varboncoeur DDS, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORTLAND S. CALDEMEYER DDS (PARTNER)
(619) 463-4486
Entity
Organization
Contact information
Practice address
5565 GROSSMONT CENTER DR, BLD 1 STE 129, LA MESA, CA 91942
(619) 463-4486
(619) 463-6553
Mailing address
5565 GROSSMONT CENTER DR, BLD 1 STE 129, LA MESA, CA 91942
(619) 463-4486
(619) 463-6553
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
37512
—
122300000X
Dentist
Primary
47693
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
Other
Enumeration date
01/30/2007
Last updated
04/19/2011
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