Individual
DR. OLGA MARIA KABOURIDOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1901 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 551-7300
(215) 551-7401
Mailing address
1901 S BROAD ST, PHILADELPHIA, PA 19148-2216
(215) 551-7300
(215) 551-7401
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS036116
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011373800002
—
PA
Enumeration date
05/31/2006
Last updated
02/14/2013
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