Theodorou Professional Dental Corp.

NPI #1225152952 in Canoga Park, California

Provider Information

NPI Number: 1225152952
Entity Type: Organization
Organization Name: Theodorou Professional Dental Corp.
Primary Specialty: Dentist
Enumeration Date: Mar 19, 2007
Last Updated: Mar 17, 2020

Practice Location

Address: 19717 SHERMAN WAY
City: Canoga Park
State: California
ZIP Code: 91306
Phone: (818) 709-0090

Authorized Official

Name: DR. NIKOLAOS THEODOROU, DDS
Title: DENTIST PRESIDENT OF CORPORATION
Phone: (818) 709-0090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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