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Organization
EP DENTAL SLEEP MEDICINE, PLLC
Active
Organization
EP DENTAL SLEEP MEDICINE, PLLC
Active
Other names
Koala Center for Sleep Disorders
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN KALISH DDS (OWNER)
(915) 881-9898
Entity
Organization
Contact information
Practice address
6901 HELEN OF TROY STE D2, EL PASO, TX 79911-3130
(815) 881-9898
Mailing address
11825 STATE ROUTE 40 STE 100, DUNLAP, IL 61525-8842
(309) 839-9971
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23551
TX
Other
Enumeration date
08/20/2018
Last updated
06/12/2019
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