Organization
CALDERON DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER CALDERON DDS (OWNER)
(419) 867-3400
Entity
Organization
Contact information
Practice address
6658 AIRPORT HWY, HOLLAND, OH 43528-8135
(419) 867-3400
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23082
OH
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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