Individual
DR. ANTHONY JOHN KASALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5150 MONTANA AVE, EL PASO, TX 79903-4904
(915) 771-0886
Mailing address
6116 PINO REAL DR, EL PASO, TX 79912-2602
(915) 204-6941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24747
TX
Other
Enumeration date
09/15/2009
Last updated
10/08/2013
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