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General NPI Number Information
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NPI Number | 1558551689
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Entity Type | Organization
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Legal Business Name | RALPH A CALLENDER DDS CORP.
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 3701 STOCKER ST SUITE 304
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City | LOS ANGELES
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State | CA
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Zip | 90008-5108
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Country | US
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Telephone | 323-296-6711
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Fax | 310-645-5105
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Provider Business Mailing Address
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Address Line | 3701 STOCKER ST SUITE 304
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City | LOS ANGELES
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State | CA
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Zip | 90008-5108
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Country | US
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Telephone | 323-296-6711
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Fax | 310-645-5105
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RALPH A CALLENDER SR.
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Credential | DDS
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Telephone | 323-296-6711
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 16884
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License Number State | CA
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