Individual
JEFFREY ALVIN KALMOWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
5180 PARK AVE STE 140, MEMPHIS, TN 38119-3526
(901) 683-7309
(901) 763-1351
Mailing address
5180 PARK AVE STE 140, MEMPHIS, TN 38119-3526
(901) 683-7309
(901) 763-1351
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5343
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0134957
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
02/13/2007
Last updated
07/08/2007
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