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1174764039
NICHOLAS THEODOTOU
POOLER, GA
NPI
1174764039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA dn011530)
Enumeration Date
2009-03-23
Last Update Date
2021-08-09
Business Address
Dr. NICHOLAS THEODOTOU BDS, DDS
506 US HIGHWAY 80 W
POOLER, GA 31322-2104
Phone number: 912-600-6060
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Mailing Address
Dr. NICHOLAS THEODOTOU BDS, DDS
506 US HIGHWAY 80 W
POOLER, GA 31322-2104
Phone number: 912-600-6060
Copy
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