Thomas Koustis DDS

NPI 1013928845 - Dentist - 122300000X

NPI Details
NPI 1013928845
Gender Male
Enumeration Date 08/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
35403 EUCLID AVE
SUITE 200
WILLOUGHBY OH, 44094-4568, US
Phone (440) 942-1161
Fax (440) 918-9625
Business Location
35403 EUCLID AVE
SUITE 200
WILLOUGHBY OH, 44094-4568, US
Phone (440) 942-1161
Fax (440) 918-9625
Toxanomy
Taxonomy Code 122300000X
License State Ohio
License Number 17514
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According to our database, Dr. Thomas Koustis DDS NPI is 1013928845, taxonomy code is 122300000X and license number is 17514, license state is located at Ohio. Thomas Koustis DDS physically located at 35403 Euclid Ave, Willoughby OH, 44094-4568. NPI Number Thomas Koustis DDS has the Individual type.

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1013928845 NPI number is provided on an as is basis without warranty of any kind. 1013928845 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Koustis DDS are for informational purposes only.