Individual
DR. JONATHAN GELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
385 TREMONT AVE, EAST ORANGE, NJ 07018
(845) 548-3841
Mailing address
789 ROLLING HILL DR, RIVER VALE, NJ 07675-6170
(845) 548-3841
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
059961
NY
Other
Enumeration date
06/05/2017
Last updated
08/11/2018
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