Individual provider · Type 1 NPI
Stephen S. Kallaos, DDS
Periodontics · Moreno Valley, CA
NPI number
1649349879
Active
Practice location
24099 Postal Ave, Suite 102
Moreno Valley, CA 92553-7709
Fax (951) 601-1292
Mailing address
29 Oroville
Irvine, CA 92602-0923
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 44903 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3 other providers at this address
Other periodontics providers in Moreno Valley
About NPI 1649349879
Stephen S. Kallaos, DDS's National Provider Identifier is 1649349879, issued on Nov 6, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Moreno Valley, CA. The record was last updated on Jul 8, 2007.