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CALVIN RUSSELL DEVNICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1134 NORTH BRAND BLVD, GLENDALE, CA 91202
(818) 246-2253
(818) 246-2892
Mailing address
1134 NORTH BRAND BLVD, GLENDALE, CA 91202
(818) 246-2253
(818) 246-2892

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18815
CA

Other

Enumeration date
08/19/2006
Last updated
07/08/2007
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