Provider Demographics
NPI:1477658953
Name:CALAYAG, EVELYN JOYCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:EVELYN
Middle Name:JOYCE
Last Name:CALAYAG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3057 ALAMO DR
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-6300
Mailing Address - Country:US
Mailing Address - Phone:707-448-8881
Mailing Address - Fax:707-448-8724
Practice Address - Street 1:520 COTTONWOOD ST
Practice Address - Street 2:SUITE 11
Practice Address - City:WOODLAND
Practice Address - State:CA
Practice Address - Zip Code:95695-3603
Practice Address - Country:US
Practice Address - Phone:530-661-9276
Practice Address - Fax:530-662-0965
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA548311223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice