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Individual

DR. MICHAEL ELDAN KANELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2351 PYRAMID WAY STE 22, SPARKS, NV 89431-2163
(775) 359-5072
Mailing address
2351 PYRAMID WAY STE 22, SPARKS, NV 89431-2163
(775) 359-5072

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6343
NV

Other

Enumeration date
07/23/2013
Last updated
01/16/2015
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