| Kasallis Westside Dental Pllc | |
|
824 E Redd Rd Ste 1-b El Paso TX 79912-7262 | |
| (915) 204-6941 | |
| Not Available |
| Full Name | Kasallis Westside Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 824 E Redd Rd Ste 1-b, El Paso, Texas |
| Authorized Official Name and Position | Anthony John Kasallis (OWNER) |
| Authorized Official Contact | 9152046941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasallis Westside Dental Pllc 6309 Natalicio Ln El Paso TX 79912-1859 Ph: (915) 204-6941 | Kasallis Westside Dental Pllc 824 E Redd Rd Ste 1-b El Paso TX 79912-7262 Ph: (915) 204-6941 |
| NPI Number | 1588216949 |
|---|---|
| Provider Enumeration Date | 07/15/2019 |
| Last Update Date | 07/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588216949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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