Sotery Mamouzelos

NPI 1700945276 - Dentist - 1223G0001X

NPI Details
NPI 1700945276
Gender Male
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1288 W MAIN ST
SUITE 123
LEWISVILLE TX, 75067-3420, US
Phone (972) 221-2220
Fax
Business Location
650 INTERNATIONAL PKWY
SUITE 100
RICHARDSON TX, 75081-6612, US
Phone (972) 221-2220
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Texas
License Number 21180
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According to our database, Sotery Mamouzelos NPI is 1700945276, taxonomy code is 1223G0001X and license number is 21180, license state is located at Texas. Sotery Mamouzelos physically located at 1288 W Main St, Lewisville TX, 75067-3420. NPI Number Sotery Mamouzelos has the Individual type.

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1700945276 NPI number is provided on an as is basis without warranty of any kind. 1700945276 is maintained by the National Plan & Provider Enumeration System. The contents of Sotery Mamouzelos are for informational purposes only.