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1144435090
THEODORA KALONAROS DIETRICH
PORT CHARLOTTE, FL
NPI
1144435090
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: FL DN10474)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Dr. THEODORA KALONAROS DIETRICH D.D.S.
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954-2626
Phone number: 941-625-7877
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Mailing Address
Dr. THEODORA KALONAROS DIETRICH D.D.S.
17178 TOLEDO BLADE BLVD
PORT CHARLOTTE, FL 33954-2626
Phone number: 941-625-7877
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