Individual
KONSTANTINOS MEGKOUSIDIS
Active
Individual
KONSTANTINOS MEGKOUSIDIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
04944
NH
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
04944
NH
390200000X
Student in an Organized Health Care Education/Training Program
DL15968
MA
Other
Enumeration date
12/26/2023
Last updated
02/17/2025
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