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Individual
MATTHEW GELALICH
Active
Individual
MATTHEW GELALICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8155
NV
122300000X
Dentist
9941
SC
122300000X
Dentist
D011625
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1546260662
DOD ID
—
Enumeration date
05/02/2021
Last updated
07/21/2026
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