Individual
ANTIGONE SKOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3980 GLENFELIZ BLVD, LOS ANGELES, CA 90039-1459
(323) 663-2050
Mailing address
3980 GLENFELIZ BLVD, LOS ANGELES, CA 90039-1459
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
58515
CA
Other
Enumeration date
01/13/2010
Last updated
07/03/2013
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