Organization
DRS ATHANASOULAS & PAPPEY ASSOCIATES IN DENTISTRY IHC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DEMETRIUS ATHANASOULAS DDS (PRESIDENT)
(978) 454-2924
Entity
Organization
Contact information
Practice address
155 MARKET STREET, LOWELL, MA 01852
(978) 454-2924
(978) 454-0726
Mailing address
155 MARKET STREET, LOWELL, MA 01852
(978) 454-2924
(978) 454-0726
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10609
MA
1223G0001X
General Practice Dentistry
15488
MA
1223G0001X
General Practice Dentistry
20392
MA
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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