MEDICARE: DR. ORLANDO DEGUIA CALARA D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	49607	CA

General Provider Information

NPI Number	:	1316149644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO DEGUIA CALARA D.D.S.

Provider Business Mailing Address
First Line	:	1040 N RENGSTORFF AVE
Second Line	:	SUITE C
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94043-1750
Country	:	US
Telephone Number	:	650-938-2878
Fax Number	:	650-938-2872

Provider Business Practice Location Address
First Line	:	1040 N RENGSTORFF AVE
Second Line	:	SUITE C
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94043-1750
Country	:	US
Telephone Number	:	650-938-2878
Fax Number	:	650-938-2872

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2007
Last Update Date	:	07/08/2007

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