DR. Theodore Constantine Dimas, D.D.S.

NPI #1215172275 in Prairie Village, Kansas

Provider Information

NPI Number: 1215172275
Entity Type: Individual
Name: DR. Theodore Constantine Dimas, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Dec 4, 2008
Last Updated: Dec 4, 2008

Practice Location

Address: 4121 W. 83 ST.
Address 2: SUITE 230
City: Prairie Village
State: Kansas
ZIP Code: 66208-5303
Phone: (913) 649-1171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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