John George Poulos, DDS

NPI #1871007773 in Northport, New York

Provider Information

NPI Number
1871007773
Entity Type
Individual
Name
John George Poulos, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Prosthodontics
Credential
DDS
Enumeration Date
Nov 30, 2017
Last Updated
Nov 30, 2017

Practice Location

Address
22 LAUREL AVE
ZIP Code
11768-3165
Phone
(631) 262-0644

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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