Individual
ELENA KAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
560 JACKSON ST N STE 250, ST PETERSBURG, FL 33705-1449
(727) 289-2981
(727) 280-5225
Mailing address
560 JACKSON ST N STE 250, ST PETERSBURG, FL 33705-1449
(727) 289-2981
(727) 280-5225
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN21445
FL
1223E0200X
Endodontics
Primary
DN21445
FL
Other
Enumeration date
08/29/2012
Last updated
09/08/2023
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