Alden Jerald Calantog
Alden Jerald Calantog is a Student in an Organized Health Care Education/Training Program in Fremont, California. Licensed in California. Registered with an NPI since 2021.
- Licensed in
- CA
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
5382 Bamboo LnFremont, CA 94538-1813
Phone: (510) 552-9461
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 108141 (CA) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1760073761 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 1, 2021 |
| Last updated in NPPES | October 31, 2024 |
| Certification date | October 31, 2024 |
| Mailing address | 5382 Bamboo Ln, Fremont, CA 94538-1813 |
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