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Individual
DIMITRIS N TATAKIS
Active
Individual
DIMITRIS N TATAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PHD
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
00159
OH
1223P0300X
Periodontics
48035
CA
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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