Provider Demographics
NPI:1740296920
Name:GALDIANO, MARIA CARMELITA (DMD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CARMELITA
Last Name:GALDIANO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 MISSION AVE
Mailing Address - Street 2:SUITE D-5
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-1821
Mailing Address - Country:US
Mailing Address - Phone:760-966-0800
Mailing Address - Fax:760-966-1167
Practice Address - Street 1:3825 MISSION AVE
Practice Address - Street 2:SUITE D-5
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-1821
Practice Address - Country:US
Practice Address - Phone:760-966-0800
Practice Address - Fax:760-966-1167
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA379981223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice