George Kostakis DDS

NPI 1053405480 - Dentist - 1223G0001X

NPI Details
NPI 1053405480
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2626 TAMPA RD.
SUITE 201
PALM HARBOR FL, 34684, US
Phone (727) 787-7434
Fax (727) 787-7173
Business Location
1561 CANOPY OAKS BLVD.
PALM HARBOR FL, 34683, US
Phone (727) 786-8499
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN11104
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According to our database, George Kostakis DDS NPI is 1053405480, taxonomy code is 1223G0001X and license number is DN11104, license state is located at Florida. George Kostakis DDS physically located at 2626 Tampa Rd., Palm Harbor FL, 34684. NPI Number George Kostakis DDS has the Individual type.

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1053405480 NPI number is provided on an as is basis without warranty of any kind. 1053405480 is maintained by the National Plan & Provider Enumeration System. The contents of George Kostakis DDS are for informational purposes only.