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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