Individual
DR. GEORGIOS MAROULAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS, FACP
Contact information
Practice address
1801 W WISCONSIN AVE, FACULTY PRACTICE, MILWAUKEE, WI 53233-2186
(414) 288-0788
Mailing address
1801 W WISCONSIN AVE, FACULTY PRACTICE, MILWAUKEE, WI 53233-2186
(414) 288-0788
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
17972-875
WI
1223P0700X
Prosthodontics
27418
TX
Other
Enumeration date
10/06/2014
Last updated
07/26/2015
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