Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaely Kantaris

Individual provider Dentist · NPI 1104225994

Kaely Kantaris is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California, Florida and Wisconsin.

Licensed in
CA, FL, WI
In the registry since
2014
Specialties on file
3
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Practice location Address checks out

4435 Eastgate Mall #125
San Diego, CA 92121-5191
Phone: (858) 546-7667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DDS108191 (CA)
Dentist Taxonomy 122300000X · Licence 1000988-15 (WI)
Dentist Taxonomy 122300000X · Licence DN27647 (FL)

Record details

NPI number1104225994
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 18, 2014
Last updated in NPPESMay 7, 2023
Certification dateMay 7, 2023

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