Individual
KALIA THEODOROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 688-3763
Mailing address
190 S HIGH ST APT 574, COLUMBUS, OH 43215-3676
(614) 632-3316
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
RES.004068
OH
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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