Individual
KEVIN GELLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
22660 TWYCKINGHAM WAY, SOUTHFIELD, MI 48034-6257
(216) 780-4468
Mailing address
22660 TWYCKINGHAM WAY, SOUTHFIELD, MI 48034-6257
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901022005
MI
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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