| NPI | 1215391255 |
|---|---|
| Other Name | DIMITRI BASILAKOS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: WI 1001997-15) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: KY 9807) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2022-08-18 |