| Mike E. Calderon Dds Pc | |
|
720 Montauk Hwy West Islip NY 11795-4411 | |
| (631) 666-1392 | |
| Not Available |
| Full Name | Mike E. Calderon Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 Montauk Hwy, West Islip, New York |
| Authorized Official Name and Position | Mike Elvis Calderon (DENTIST) |
| Authorized Official Contact | 6316661392 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mike E. Calderon Dds Pc 1221 Sunrise Hwy. Bay Shore NY 11706 Ph: (631) 666-1392 | Mike E. Calderon Dds Pc 720 Montauk Hwy West Islip NY 11795-4411 Ph: (631) 666-1392 |
| NPI Number | 1811258627 |
|---|---|
| Provider Enumeration Date | 06/07/2012 |
| Last Update Date | 05/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811258627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 045-794 (New York) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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