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Individual

GEORGE M KAZAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.,M.S.

Contact information

Practice address
6323 CORPORATE CT, STE B, FORT MYERS, FL 33919-3506
(239) 482-3343
(239) 482-3462
Mailing address
6323 CORPORATE CT, STE B, FORT MYERS, FL 33919-3506
(239) 482-3343
(239) 482-3462

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
11292
FL

Other

Enumeration date
08/15/2006
Last updated
07/08/2007
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