Provider Demographics
NPI:1780366500
Name:CALDERON, BRITTANY ANN (DDS)
Entity type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:ANN
Last Name:CALDERON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1352 SCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:CA
Mailing Address - Zip Code:92223-7704
Mailing Address - Country:US
Mailing Address - Phone:951-239-8332
Mailing Address - Fax:
Practice Address - Street 1:1620 E 2ND ST STE A
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:CA
Practice Address - Zip Code:92223-3171
Practice Address - Country:US
Practice Address - Phone:951-769-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-02
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108920122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist