Individual
DR. ANASTASIA THEODOROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
19111 DETROIT RD STE 204, ROCKY RIVER, OH 44116-1740
(440) 356-1000
(440) 356-2090
Mailing address
19111 DETROIT RD STE 206, ROCKY RIVER, OH 44116-1740
(207) 784-4222
(207) 784-8798
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3712
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0402338
—
OH
Enumeration date
09/03/2006
Last updated
08/17/2020
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