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1396070074
GEORGE DIMITRI KOHOUT
SAN DIEGO, CA
NPI
1396070074
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2009-10-13
Last Update Date
2009-10-13
Business Address
-- GEORGE DIMITRI KOHOUT DDS
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-552-7525
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Mailing Address
-- GEORGE DIMITRI KOHOUT DDS
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number:
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