Individual
DR. ANDRES FELIPE CASALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
949 PALM AVE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
Mailing address
9229 REGENTS RD UNIT 216, LA JOLLA, CA 92037-9272
(510) 754-9754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
105112
CA
Other
Enumeration date
07/27/2020
Last updated
08/28/2020
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