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Individual
EUGENE C SKOURTES
Active
Individual
EUGENE C SKOURTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
7031
WA
122300000X
Dentist
D3346
ID
122300000X
Dentist
Primary
D4363
OR
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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