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Organization
PANAGIOTA STATHOPOULOU DMD LLC
Active
Organization
PANAGIOTA STATHOPOULOU DMD LLC
Active
Other names
Fusion Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PANAGIOTA STATHOPOULOU DMD (OWNER)
(503) 653-2299
Entity
Organization
Contact information
Practice address
9300 SE 91ST AVE STE 403, HAPPY VALLEY, OR 97086-3762
(503) 653-2299
Mailing address
9300 SE 91ST AVE STE 403, HAPPY VALLEY, OR 97086-3762
(503) 653-2299
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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