Individual
DR. NIKOLETA KONSTANTONI PANOUSOPOULOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.D.
Contact information
Practice address
7517 CAMERON RD STE 106, AUSTIN, TX 78752-2055
(512) 278-1111
Mailing address
43 RAINEY ST APT 2504, AUSTIN, TX 78701-4449
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
35528
TX
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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