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Organization
KATERINA SIOUTIS DMD, LLC
Active
Organization
KATERINA SIOUTIS DMD, LLC
Active
Other names
Media Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN KANELLOPOULOS (OFFICE MANAGER)
(610) 566-3600
Entity
Organization
Contact information
Practice address
415 E BALTIMORE AVE STE 2, MEDIA, PA 19063-3538
(610) 566-3600
Mailing address
415 E BALTIMORE AVE STE 2, MEDIA, PA 19063-3538
(610) 566-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
NULL
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
NULL
126800000X
Dental Assistant
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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