| NPI | 1801977228 |
|---|---|
| Professional Name | LARRY J KALASKEY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: WV 101) |
| Additional Taxonomies | 122300000X Dentist (Licence: WV 3209) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-12-06 |