| Ralph A Callender Dds Corp. | |
|
3701 Stocker St Suite 304 Los Angeles CA 90008-5108 | |
| (323) 296-6711 | |
| (310) 645-5105 |
| Full Name | Ralph A Callender Dds Corp. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3701 Stocker St, Los Angeles, California |
| Authorized Official Name and Position | Ralph A Callender (PRESIDENT) |
| Authorized Official Contact | 3232966711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph A Callender Dds Corp. 3701 Stocker St Suite 304 Los Angeles CA 90008-5108 Ph: (323) 296-6711 | Ralph A Callender Dds Corp. 3701 Stocker St Suite 304 Los Angeles CA 90008-5108 Ph: (323) 296-6711 |
| NPI Number | 1558551689 |
|---|---|
| Provider Enumeration Date | 07/25/2007 |
| Last Update Date | 07/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558551689 | NPI | - | NPPES |
| 500179 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 16884 (California) | Primary |
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