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1871007773
JOHN GEORGE POULOS
NORTHPORT, NY
NPI
1871007773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223P0700X Dentist, Prosthodontics
(Licence: NY 31347)
Enumeration Date
2017-11-30
Last Update Date
2017-11-30
Business Address
JOHN GEORGE POULOS DDS
22 LAUREL AVE
NORTHPORT, NY 11768-3165
Phone number: 631-262-0644
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Mailing Address
JOHN GEORGE POULOS DDS
22 LAUREL AVE
NORTHPORT, NY 11768-3165
Phone number: 631-262-0644
Copy
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