JOHN G POULOS DDS

NORTHPORT, NY
NPI1932597606
Entity TypeOrganization
Authorized ContactJOHN G POULOS
Owner
631-262-0644
Organization Subpart ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: NY  31347)
Enumeration Date2015-01-05
Last Update Date2015-01-05
Business Address
JOHN G POULOS DDS
22 LAUREL AVE
NORTHPORT, NY 11768-3165
Phone number: 631-262-0644
Mailing Address
JOHN G POULOS DDS
22 LAUREL AVE
NORTHPORT, NY 11768-3165
Phone number: 631-262-0644