Michael Demetrios Athanasoulas D.D.S.

NPI 1437278793 - Dentist - 1223G0001X

NPI Details
NPI 1437278793
Gender Male
Enumeration Date 03/28/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
155 MARKET ST
LOWELL MA, 01852-1922, US
Phone (978) 454-2924
Fax (978) 454-0726
Business Location
155 MARKET ST
LOWELL MA, 01852-1922, US
Phone (978) 454-2924
Fax (978) 454-0726
Toxanomy
Taxonomy Code 1223G0001X
License State Massachusetts
License Number 10609
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According to our database, Dr. Michael Demetrios Athanasoulas D.D.S. NPI is 1437278793, taxonomy code is 1223G0001X and license number is 10609, license state is located at Massachusetts. Michael Demetrios Athanasoulas D.D.S. physically located at 155 Market St, Lowell MA, 01852-1922. NPI Number Michael Demetrios Athanasoulas D.D.S. has the Individual type.

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1437278793 NPI number is provided on an as is basis without warranty of any kind. 1437278793 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Demetrios Athanasoulas D.D.S. are for informational purposes only.