Individual
POLYMNIA VASILIKI TSOTSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2800 COLLEGE AVE BLDG 273, ALTON, IL 62002-4700
(415) 966-7761
Mailing address
6190 BENNETT DR APT 406, EDWARDSVILLE, IL 62025-4735
(415) 966-7761
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
136000264
IL
Other
Enumeration date
06/30/2021
Last updated
07/03/2023
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