Individual
FRED MICHAEL KALISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16216 BAXTER RD, SUITE 320, CHESTERFIELD, MO 63017-4770
(636) 532-2228
Mailing address
16216 BAXTER RD, SUITE 320, CHESTERFIELD, MO 63017-4770
(636) 532-2228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012221
MO
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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