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1114139292
LOUIS POULOS
SAN JOSE, CA
NPI
1114139292
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0300X Dentist Periodontics
(Licence: CA 21283)
Enumeration Date
2007-05-03
Last Update Date
2007-07-08
Business Address
LOUIS POULOS D.D.S.
2581 SAMARITAN DR SUITE 310
SAN JOSE, CA 95124-4113
Phone number: 408-356-9366
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Mailing Address
LOUIS POULOS D.D.S.
2581 SAMARITAN DR SUITE 310
SAN JOSE, CA 95124-4113
Phone number: 408-356-9366
Copy
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