Individual
OLEG KALSOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
13555 AUTOMOBILE BLVD STE 2, CLEARWATER, FL 33762-3826
(813) 870-6000
Mailing address
13555 AUTOMOBILE BLVD STE 2, CLEARWATER, FL 33762-3826
(813) 870-6000
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN21438
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2014
Last updated
03/28/2022
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