| NPI | 1528163821 |
|---|---|
| Former Legal Business Name | TY CALDWELL, DDS & SUSAN CALDWELL, DDS |
| Entity Type | Organization |
| Authorized Contact | TY D CALDWELL Dentist 714-821-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CA 032808) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2008-10-17 |