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JOHN KYRIAKOS SKIOURIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2630 E 7TH ST, SUITE 204, CHARLOTTE, NC 28204
(704) 335-0611
(704) 335-0511
Mailing address
2630 E 7TH ST, SUITE 204, CHARLOTTE, NC 28204
(704) 335-0611
(704) 335-0511

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5636
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8997784
NC
Enumeration date
12/04/2007
Last updated
12/04/2007
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