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Individual
DR. ATHANASIOS PANAGIOTIS KAKOURAS
Active
Individual
DR. ATHANASIOS PANAGIOTIS KAKOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7838
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902XJ
—
NC
01
—
902XJ
BLUECROSS/BLUESHIELD
NC
Enumeration date
09/08/2005
Last updated
02/18/2009
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