Individual provider · Type 1 NPI

Charles Clark Kallstrom, DDS

General Practice Dentistry · Geneva, IL

NPI number 1396847828 Active

Practice location

302 Randall Rd, Suite # 105
Geneva, IL 60134-4209

Call (630) 232-7385 Map

Fax (630) 232-7389

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19014085 (IL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1396847828

Charles Clark Kallstrom, DDS's National Provider Identifier is 1396847828, issued on Sep 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Geneva, IL. The record was last updated on Jul 8, 2007.