Provider Demographics
NPI:1205149176
Name:CALIGIURI, PEARL AMBROSIO (DDS)
Entity type:Individual
Prefix:
First Name:PEARL
Middle Name:AMBROSIO
Last Name:CALIGIURI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:PEARL
Other - Middle Name:LLORICO
Other - Last Name:AMBROSIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:26974 RAINBOW GLEN DR
Mailing Address - Street 2:
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91351-4875
Mailing Address - Country:US
Mailing Address - Phone:661-673-8888
Mailing Address - Fax:661-298-8668
Practice Address - Street 1:26974 RAINBOW GLEN DR
Practice Address - Street 2:
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91351-4875
Practice Address - Country:US
Practice Address - Phone:661-673-8888
Practice Address - Fax:661-298-8668
Is Sole Proprietor?:No
Enumeration Date:2010-07-21
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA59363122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist