Provider Demographics
NPI:1154581106
Name:DR.TRINIDAD C. CALMA,INC.,A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:DR.TRINIDAD C. CALMA,INC.,A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TRINIDAD
Authorized Official - Middle Name:C
Authorized Official - Last Name:CALMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-987-8779
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA35366261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAB35366-01OtherMEDICAL