NPI | 1629382049 |
---|---|
Other Name | THEODOROU DENTAL PARTNERS LLC |
Entity Type | Organization |
Authorized Contact | CHRIST B THEODOROU Owner/Dentist 802-863-3950 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VT 77880) |
Enumeration Date | 2010-07-27 |
Last Update Date | 2011-09-21 |