Organization
GARDEN STATE ORAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN N KALLIS DMD (OWNER)
(973) 335-5252
Entity
Organization
Contact information
Practice address
265 BALDWIN RD, PARSIPPANY, NJ 07054-2007
(973) 335-5252
Mailing address
265 BALDWIN RD, PARSIPPANY, NJ 07054-2007
(973) 335-5252
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI15472
NJ
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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