Individual
DR. NICHOLAS KANELOS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 CENTRAL AVE, DOVER, NH 03820
(603) 742-8844
(603) 749-8882
Mailing address
15 ALDER CREEK LN, ROCHESTER, NH 03867
(603) 332-9940
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
18616
MA
122300000X
Dentist
Primary
2659
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30302243
—
NH
Enumeration date
08/14/2006
Last updated
07/08/2007
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