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Individual

DR. SCOTT W KALOUST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
1300 UNIVERSITY DR, MENLO PARK, CA 94025-4203
(650) 326-0250
(650) 326-0507
Mailing address
68 ELWOOD ST, REDWOOD CITY, CA 94062-1617
(650) 364-2728

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
42475
CA

Other

Enumeration date
05/08/2007
Last updated
07/08/2007
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