Individual
ALWILLEED KALOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102-2335
(702) 774-2400
Mailing address
1700 W CHARLESTON BLVD BLDG D, LAS VEGAS, NV 89102-2335
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.027470
OH
122300000X
Dentist
Primary
8039
NV
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/28/2024
Last updated
07/17/2024
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