Individual
JACK KALLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
307 E UNIVERSITY DR, EDINBURG, TX 78539-3549
(956) 380-2482
Mailing address
810 E BROWN DEER RD, BAYSIDE, WI 53217-1901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
40609
TX
Other
Enumeration date
06/18/2024
Last updated
06/29/2024
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