| NPI | 1063690816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN N KALLIS Owner 973-335-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: NJ DI15472) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2008-02-04 |