Provider Demographics
NPI:1851270425
Name:CALIMA DENTAL CYPRESS LLC
Entity type:Organization
Organization Name:CALIMA DENTAL CYPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATIA
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLADARES SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:239-768-1011
Mailing Address - Street 1:13300 S CLEVELAND AVE STE 46
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33907-3883
Mailing Address - Country:US
Mailing Address - Phone:239-768-1011
Mailing Address - Fax:239-768-9311
Practice Address - Street 1:13300 S CLEVELAND AVE STE 46
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-3883
Practice Address - Country:US
Practice Address - Phone:239-768-1011
Practice Address - Fax:239-768-9311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty