Individual
DR. ROBERT MICHAEL KALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1128 PENN AVE, WYOMISSING, PA 19610-2034
(610) 373-3991
(610) 373-6278
Mailing address
1128 PENN AVE, WYOMISSING, PA 19610-2034
(610) 373-3991
(610) 373-6278
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS028391-L
PA
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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