Individual
DR. THEO KOUTOUZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1600 SW ARCHER RD, D4-4, GAINESVILLE, FL 32610-3003
(352) 273-5800
(352) 392-3070
Mailing address
PO BOX 100405, GAINESVILLE, FL 32610-0405
(352) 392-4305
(352) 392-3070
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DTP473
FL
Other
Enumeration date
06/15/2007
Last updated
07/08/2007
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