Dimoulis Dental P.c.

NPI #1811362791 in Melrose Park, Illinois

Provider Information

NPI Number
1811362791
Entity Type
Organization
Organization Name
Dimoulis Dental P.c.
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 3, 2015
Last Updated
Dec 3, 2015

Practice Location

Address
818 N 19TH AVE
ZIP Code
60160-3726
Phone
(708) 450-1170

Authorized Official

Name
DR. THEODORE HARRY DIMOULIS, D.M.D.
Title
OWNER/DENTIST
Phone
(847) 651-2692

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist - General PracticeGeneral Practice

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