Peter Gus Diacoloukas, DDS

NPI #1619096435 in Rosedale, Maryland

Provider Information

NPI Number: 1619096435
Entity Type: Individual
Name: Peter Gus Diacoloukas, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Mar 29, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 8510 PHILADELPHIA RD
Address 2: SUITE A
City: Rosedale
State: Maryland
ZIP Code: 21237-3015
Phone: (410) 574-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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