Individual
THERESA CALCAGNO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
511 SW 10TH AVE., SUITE 704, PORTLAND, OR 97205
(503) 227-2883
(503) 226-5627
Mailing address
511 SW 10TH AVE., SUITE 704, PORTLAND, OR 97205
(503) 227-2883
(503) 226-5627
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6158
OR
Other
Enumeration date
07/14/2005
Last updated
07/08/2007
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