Individual
DR. JOHN N KALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
617 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-1831
(201) 567-7500
(201) 567-7505
Mailing address
617 E PALISADE AVE, ENGLEWOOD CLIFFS, NJ 07632-1831
(201) 567-7500
(201) 567-7505
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
DI15472
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1666908
—
NJ
Enumeration date
10/12/2005
Last updated
12/29/2009
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