Individual
CHARALAMPOS KOUMOULLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DDS MSC
Contact information
Practice address
650 W BALTIMORE STREET, SUITE 1216, BALTIMORE, MD 21201
(410) 706-3964
Mailing address
650 W BALTIMORE STREET, SUITE 1216, BALTIMORE, MD 21201
(410) 706-3964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/31/2024
Last updated
07/31/2024
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