Individual
MR. GUS GEORGE NOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11230 N TATUM BLVD, STE 103, PHOENIX, AZ 85028
(602) 404-1414
(602) 404-1440
Mailing address
11230 N TATUM BLVD, STE 103, PHOENIX, AZ 85028
(602) 404-1414
(602) 404-1440
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2248
AZ
174400000X
Specialist
—
—
Other
Enumeration date
11/10/2006
Last updated
07/19/2010
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