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Individual
KAELY KANTARIS
Active
Individual
KAELY KANTARIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1000988-15
WI
122300000X
Dentist
Primary
DDS108191
CA
122300000X
Dentist
DN27647
FL
Other
Enumeration date
08/18/2014
Last updated
05/07/2023
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