Individual
MS. IOANNA GEORGIA MENTZELOPOULOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
30 E 40TH ST RM 503, NEW YORK, NY 10016-1215
(212) 986-2039
(212) 532-2726
Mailing address
3238 42ND ST APT 1, ASTORIA, NY 11103-3103
(917) 767-2483
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
049599
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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