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Individual
GEORGE K KOUTSOUKOS
Active
Individual
GEORGE K KOUTSOUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44201
CA
1223P0700X
Prosthodontics
44201
CA
Other
Enumeration date
01/15/2007
Last updated
12/03/2007
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