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Individual

ALDEN JERALD CALANTOG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5382 BAMBOO LN, FREMONT, CA 94538-1813
(510) 552-9461
Mailing address
5382 BAMBOO LN, FREMONT, CA 94538-1813
(510) 552-9461

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
108141
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
02/01/2021
Last updated
10/31/2024
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