Individual
DR. ELENI KANASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, PHD, MS, CAGS
Contact information
Practice address
100 E NEWTON ST RM 528, BOSTON, MA 02118-2308
(617) 414-1003
Mailing address
100 E NEWTON ST RM 528, BOSTON, MA 02118-2308
(617) 414-1003
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DF10932
MA
Other
Enumeration date
08/25/2009
Last updated
11/15/2013
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