Individual provider · Type 1 NPI

Kaely Kantaris

Dentist · San Diego, CA

NPI number 1104225994 Active

Practice location

4435 Eastgate Mall #125
San Diego, CA 92121-5191

Call (858) 546-7667 Map

Mailing address

4565 48th Street
San Diego, CA 92115

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	1000988-15 (WI)
Dentist	122300000X	DN27647 (FL)
Dentist Primary	122300000X	DDS108191 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1104225994

Kaely Kantaris's National Provider Identifier is 1104225994, issued on Aug 18, 2014. The primary taxonomy on file is Dentist (122300000X), and the practice location is in San Diego, CA. The record was last updated on May 7, 2023.