George Dimitri Kohout DDS

NPI 1396070074 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1396070074
Gender Male
Enumeration Date 10/13/2009
Last Updated 10/13/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
3350 LA JOLLA VILLAGE DR
SAN DIEGO CA, 92161-0002, US
Phone (858) 552-7525
Fax
Business Location
3350 LA JOLLA VILLAGE DR
SAN DIEGO CA, 92161-0002, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, George Dimitri Kohout DDS NPI is 1396070074, taxonomy code is 390200000X George Dimitri Kohout DDS physically located at 3350 La Jolla Village Dr, San Diego CA, 92161-0002. NPI Number George Dimitri Kohout DDS has the Individual type.

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1396070074 NPI number is provided on an as is basis without warranty of any kind. 1396070074 is maintained by the National Plan & Provider Enumeration System. The contents of George Dimitri Kohout DDS are for informational purposes only.