Organization
MARIE DOULAVERAKIS DDS INC.
Active
Other names
Marie Doulaverakis DDS MA Orthodontist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIE DOULAVERAKIS DDA (OWNER/DOCTOR)
(917) 742-4796
Entity
Organization
Contact information
Practice address
5828 ADENMOOR AVE, LAKEWOOD, CA 90713-1002
(562) 867-2612
(562) 210-5255
Mailing address
5828 ADENMOOR AVE, LAKEWOOD, CA 90713-1002
(562) 867-2612
(562) 210-5255
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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