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Individual
JAMES G VELLIS
Active
Individual
JAMES G VELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
16925
FL
122300000X
Dentist
Primary
9150
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699980953
—
KY
Enumeration date
05/11/2007
Last updated
10/27/2012
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