GEORGE K KOUTSOUKOS

ENCINO, CA
NPI1376694604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: CA  44201)
Additional Taxonomies1223P0700X Dentist, Prosthodontics
(Licence: CA  44201)
Enumeration Date2007-01-15
Last Update Date2007-12-03
Business Address
-- GEORGE K KOUTSOUKOS DDS, MS
16055 VENTURA BLVD SUITE # 1126
ENCINO, CA 91436-2601
Phone number: 818-501-0427
Mailing Address
-- GEORGE K KOUTSOUKOS DDS, MS
703 E CALIFORNIA BLVD APT. #7
PASADENA, CA 91106-3834
Phone number: 213-949-8458