Provider Demographics
NPI:1326452913
Name:DR. DULCE CALZADO
Entity Type:Organization
Organization Name:DR. DULCE CALZADO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DULCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALZADO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:619-519-3651
Mailing Address - Street 1:2067 CHATSWORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92107-2731
Mailing Address - Country:US
Mailing Address - Phone:619-519-3651
Mailing Address - Fax:
Practice Address - Street 1:2340 JOSE CLEMENTE OROZCO,CONDOMINIO PLAZA CALIFORNIA
Practice Address - Street 2:5TH FLOOR, SUITE 503, ZONA RIO
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22320
Practice Address - Country:MX
Practice Address - Phone:619-519-3651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-11
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZ13868001223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0700XDental ProvidersDentistProsthodonticsGroup - Multi-Specialty