OrganizationLaura Calderon(<Unavail>)DentistDental ProvidersPractice AddressBlvd Sanchez Taboada #9250 Ste 26, Tijuana, Baja California 22010 (Mexico)(619) 488-3200PECOS EnrollmentBased on the most recent information from CMS, provider Laura Calderon does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1184115651Provider TypeOrganizationFull NameLaura CalderonOther Name<Unavail>SubpartNoEnumeration Date5/21/2018Last Updated5/21/2018Contact InformationPractice LocationPractice AddressBlvd Sanchez Taboada #9250 Ste 26, Tijuana, Baja California 22010 (Mexico)Phone(619) 488-3200Fax(866) 272-6924Mailing LocationMailing Address4275 Executive Sq Ste 200, La Jolla, CA 92037-1476Phone(619) 488-3200FaxUnlisted FaxAuthorized OfficialNameCalderon, Laura (Dentist)Phone(619) 488-3200Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicense7086647