John S Theodorou, DDS

NPI #1962789701 in Sunny Isles Beach, Florida

Provider Information

NPI Number: 1962789701
Entity Type: Individual
Name: John S Theodorou, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 8, 2011
Last Updated: Nov 8, 2011

Practice Location

Address: 19380 COLLINS AVE
Address 2: UNIT 1122-B
City: Sunny Isles Beach
State: Florida
ZIP Code: 33160-2239
Phone: (305) 801-7537

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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