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Dr. Charles Clark Kallstrom, DDS
General Practice Dentistry in Geneva, Illinois
NPI 1396847828

Charles Clark Kallstrom is a General Practice Dentistry based in Geneva, IL and is specialized in General Practice. Charles Clark Kallstrom practices in Geneva, IL and has the professional credentials of DDS. The NPI Number for Charles Clark Kallstrom is 1396847828 and holds a License No. 19014085 (Illinois).

The current practice location address for Charles Clark Kallstrom is 302 Randall Rd, Geneva, IL and can be reached out via phone at 630-232-7385 and via fax at 630-232-7389.

Location: 302 Randall Rd, Geneva, IL, 60134-4209
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396847828
Provider Name
Charles Clark Kallstrom
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
302 Randall Rd, Geneva, IL, 60134-4209
Phone Number
630-232-7385
Fax Number
630-232-7389
Provider Enumeration Date
09/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
302 Randall Rd
City
Geneva
State
Illinois
Zip
60134-4209
Phone Number
630-232-7385
Fax Number
630-232-7389
person
Provider Business Mailing Address Details
Address
302 Randall Rd
City
Geneva
State
Illinois
Zip
60134-4209
Phone Number
630-232-7385
Fax Number
630-232-7389
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
19014085 (Illinois)
Definition
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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