Organization
KOTIS AND KANELLOS LTD
Active
Other names
Par Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES P KANELLOS DDS (DENTIST/OWNER)
(773) 978-4447
Entity
Organization
Contact information
Practice address
9206 S COMMERCIAL AVE, CHICAGO, IL 60617-4508
(773) 978-4447
(773) 978-7662
Mailing address
9206 S COMMERCIAL AVE, CHICAGO, IL 60617-4508
(773) 978-4447
(773) 978-7662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
060.005824
IL
Other
Enumeration date
06/13/2008
Last updated
06/13/2008
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