Individual
DR. THOMAS KOUSTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
35403 EUCLID AVE, SUITE 200, WILLOUGHBY, OH 44094-4568
(440) 942-1161
(440) 918-9625
Mailing address
35403 EUCLID AVE, SUITE 200, WILLOUGHBY, OH 44094-4568
(440) 942-1161
(440) 918-9625
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17514
OH
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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