| Marilyn R. Calvo, D.d.s. A Dental Corp | |
|
16311 Ventura Blvd Suite 527 Encino CA 91436-2124 | |
| (818) 788-0905 | |
| (818) 788-1517 |
| Full Name | Marilyn R. Calvo, D.d.s. A Dental Corp |
|---|---|
| Speciality | Dentist |
| Location | 16311 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Marilyn R. Calvo (PRESIDENT) |
| Authorized Official Contact | 8187880905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilyn R. Calvo, D.d.s. A Dental Corp 16311 Ventura Blvd Suite 527 Encino CA 91436-2124 Ph: (818) 788-0905 | Marilyn R. Calvo, D.d.s. A Dental Corp 16311 Ventura Blvd Suite 527 Encino CA 91436-2124 Ph: (818) 788-0905 |
| NPI Number | 1235426628 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 07/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235426628 | NPI | - | NPPES |
| G93559-01 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 28909 (California) | Primary |
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