Organization
PREMIER ORAL SUGERY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KALLIS DMD (OWNER)
(201) 567-7500
Entity
Organization
Contact information
Practice address
617 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-1831
(201) 567-7500
(201) 567-7505
Mailing address
617 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-1831
(201) 567-7500
(201) 567-7505
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DI15472
NJ
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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