Individual
DR. SOTIRIOS DIAMANTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
03764
NH
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN1855325
MA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
243366
MA
Other
Enumeration date
08/20/2007
Last updated
06/08/2011
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