Individual
POLITIMI C MANTZOURANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
140 THOMAS JOHNSON DR, SUITE 203, FREDERICK, MD 21702
(301) 662-8675
(301) 662-8975
Mailing address
140 THOMAS JOHNSON DR, SUITE 203, FREDERICK, MD 21702
(301) 662-8675
(301) 662-8975
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
08159
MD
Other
Enumeration date
02/05/2007
Last updated
04/28/2008
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