Individual
DR. DAVID KALLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
335 MAPLE ST, ENGLEWOOD, NJ 07631-3705
(201) 952-0220
Mailing address
335 MAPLE ST, ENGLEWOOD, NJ 07631-3705
(201) 952-0220
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
051143
NY
1223P0300X
Periodontics
Primary
DI02158600
NJ
Other
Enumeration date
10/26/2006
Last updated
07/08/2007
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