Organization
DENTSENSUS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK KALLOCH DMD (DENTIST)
(414) 841-2881
Entity
Organization
Contact information
Practice address
1320 W NORTHMOOR RD STE A, PEORIA, IL 61614-3425
(414) 841-2881
Mailing address
810 E BROWN DEER RD, MILWAUKEE, WI 53217-1901
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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