Individual
DR. DEAN J KIOURTSIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
4104 BROADWAY, GROVE CITY, OH 43123-3065
(614) 875-6169
Mailing address
4104 BROADWAY, GROVE CITY, OH 43123-3065
(614) 875-6169
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
18771
OH
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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