Organization
MIKE E. CALDERON DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE ELVIS CALDERON D.D.S. (DENTIST)
(631) 666-1392
Entity
Organization
Contact information
Practice address
720 MONTAUK HWY, WEST ISLIP, NY 11795-4411
(631) 666-1392
Mailing address
1221 SUNRISE HWY., BAY SHORE, NY 11706
(631) 666-1392
(631) 666-1520
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
045-794
NY
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
05/06/2021
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