Carlos Sallis, DDS

NPI #1477610574 in East Moline, Illinois

Provider Information

NPI Number: 1477610574
Entity Type: Individual
Name: Carlos Sallis, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jan 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 623 AVENUE OF THE CITIES
City: East Moline
State: Illinois
ZIP Code: 61244-4029
Phone: (309) 752-0350

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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