John G Poulos DDS

NPI #1932597606 in Northport, New York

Provider Information

NPI Number
1932597606
Entity Type
Organization
Organization Name
John G Poulos DDS
Primary Specialty
Dentist - Prosthodontics
Enumeration Date
Jan 5, 2015
Last Updated
Jan 5, 2015

Practice Location

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

Authorized Official

Name
DR. JOHN G POULOS, DDS
Title
OWNER
Phone
(631) 262-0644

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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