Organization
NORTHWOODS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMITROULA KOUZOUNAS DMD (OWNER)
(207) 474-8588
Entity
Organization
Contact information
Practice address
327 NORTH AVE, SKOWHEGAN, ME 04976
(207) 474-8588
(207) 474-9745
Mailing address
PO BOX 411, SKOWHEGAN, ME 04976-0411
(207) 474-8588
(207) 474-9745
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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