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Individual
JAMES ROBERT MITSOS
Active
Individual
JAMES ROBERT MITSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019031336
IL
1223G0001X
General Practice Dentistry
33277
TX
1223P0221X
Pediatric Dentistry
Primary
019031336
IL
Other
Enumeration date
07/13/2017
Last updated
08/24/2026
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