SearchTexas1223G0001X

Ellysse Canales, DDS

NPI 1750695144 · on the registry since 2010 · sole proprietor

Practice

Address
323 Nw 24th St
San Antonio, TX 78207
Phone
(210) 436-6261
Fax
(210) 436-7126
Organisation at this address
Ellysse Canales Dds Pc
Jeffery L. Miller, Dds, Inc
Spire Medical Management, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Also registered as
122300000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas