| NPI | 1760774343 |
|---|---|
| Former Legal Business Name | ANASTASIA THEODOROU DDS LLC |
| Entity Type | Organization |
| Authorized Contact | ANASTASIA THEODOROU Dentist 440-250-8775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30022463) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |