| Joseph F. Kallial, D.m.d. Llc | |
|
5960 Howdershell Rd Suite 202 Hazelwood MO 63042-4100 | |
| (314) 731-5155 | |
| (314) 731-2321 |
| Full Name | Joseph F. Kallial, D.m.d. Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5960 Howdershell Rd, Hazelwood, Missouri |
| Authorized Official Name and Position | Joseph Francis Kallial (PRESIDENT/OWNER) |
| Authorized Official Contact | 3147315155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph F. Kallial, D.m.d. Llc 5960 Howdershell Rd Suite 202 Hazelwood MO 63042-4100 Ph: (314) 731-5155 | Joseph F. Kallial, D.m.d. Llc 5960 Howdershell Rd Suite 202 Hazelwood MO 63042-4100 Ph: (314) 731-5155 |
| NPI Number | 1306012174 |
|---|---|
| Provider Enumeration Date | 05/01/2008 |
| Last Update Date | 05/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306012174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 015599 (Missouri) | Primary |
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