Calderon, Alfredo Rene

Calderon, Alfredo Rene is an individual health care provider with primary practice located at 12401 Olive Blvd , Creve Coeur MO 63141-5448. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Calderon, Alfredo Rene can be contacted via phone (314) 275-9009.

Contact Information

Primary practice address
12401 Olive Blvd Creve Coeur MO 63141-5448
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 60918 California
Dental Providers / General Practice 1223G0001X 2011013934 Missouri
Dental Providers / General Practice 1223G0001X 019027929 Illinois
Dental Providers / General Practice 1223G0001X 14777 Maryland

Profile Details

NPI number 1023272531
LBN Legal business name Calderon, Alfredo Rene
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2008
Last updated Feb 8th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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