Provider Demographics
NPI:1316045651
Name:GARLAND, CALVIN L (DDS)
Entity Type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:L
Last Name:GARLAND
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 GREENHAVEN DR STE 19
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-5608
Mailing Address - Country:US
Mailing Address - Phone:916-422-1823
Mailing Address - Fax:916-422-0456
Practice Address - Street 1:7600 GREENHAVEN DR STE 19
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95831-5608
Practice Address - Country:US
Practice Address - Phone:916-422-1823
Practice Address - Fax:916-422-0456
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice