Organization
KASALLIS WESTSIDE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY JOHN KASALLIS DDS (OWNER)
(915) 204-6941
Entity
Organization
Contact information
Practice address
824 E REDD RD STE 1-B, EL PASO, TX 79912-7262
(915) 204-6941
Mailing address
6309 NATALICIO LN, EL PASO, TX 79912-1859
(915) 204-6941
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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