Individual
GEORGIOS KANAVAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1 KNEELAND ST, 8TH FLOOR, BOSTON, MA 02111-1527
(617) 636-6678
Mailing address
1 KNEELAND ST, 8TH FLOOR, BOSTON, MA 02111-1527
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DF10717
MA
Other
Enumeration date
06/08/2012
Last updated
06/08/2012
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