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NPI Code Detail

MEDICARE: DR. CHRISTINE MARIE GELO D.D.S

MEDICARE:  DR. CHRISTINE MARIE GELO  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentistD13669MN

General Provider Information

NPI Number : 1679920805
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE MARIE GELO D.D.S
Provider Business Mailing Address
First Line : 501 3RD ST
Second Line :
City : INTERNATIONAL FALLS
State : MN
Zip : 56649-2305
Country : US
Telephone Number : 218-285-7822
Fax Number :
Provider Business Practice Location Address
First Line : 501 3RD ST
Second Line :
City : INTERNATIONAL FALLS
State : MN
Zip : 56649-2305
Country : US
Telephone Number : 218-285-7822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2016
Last Update Date : 10/17/2016

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Directions to “ DR. CHRISTINE MARIE GELO D.D.S” Practice Location

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