Individual
DR. NICKOLAOS ZACKARY KALLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1010 MAIN ST FL 2, PATERSON, NJ 07503-2212
(862) 881-4153
Mailing address
63 UNION AVE, UPPER SADDLE RIVER, NJ 07458-2024
(941) 720-2529
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
060277
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
22DI02741100
NJ
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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