| NPI | 1225152952 |
|---|---|
| Other Name | THEODROU PROFESSIONAL DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | NIKOLAOS THEODOROU Dentist President Of Corporation 818-709-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-03-17 |