Individual
THALIA RAMBALAKOS KATSAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7863 BROADWAY, SUITE #111, MERRILLVILLE, IN 46410-5553
(219) 769-6636
(219) 769-4396
Mailing address
7863 BROADWAY, SUITE #111, MERRILLVILLE, IN 46410-5553
(219) 769-6636
(219) 769-4396
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
12010239A
IN
Other
Enumeration date
02/02/2007
Last updated
07/08/2007
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