Provider Demographics
NPI:1932208675
Name:CALMA, TRINIDAD CRISTOBAL (DMD)
Entity Type:Individual
Prefix:DR
First Name:TRINIDAD
Middle Name:CRISTOBAL
Last Name:CALMA
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 1:9791 BASELINE RD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91730-1408
Mailing Address - Country:US
Mailing Address - Phone:909-987-8779
Mailing Address - Fax:909-987-2815
Practice Address - Street 1:9791 BASELINE RD
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-1408
Practice Address - Country:US
Practice Address - Phone:909-987-8779
Practice Address - Fax:909-987-2815
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA353661223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice