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Individual

DR. ATHANASIOS I. ZAVRAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS, MS, DRMSC

Contact information

Practice address
622 W 168TH ST, SUITE PH17W-306, NEW YORK, NY 10032-3720
(617) 818-0573
Mailing address
64 PINE ST, DOVER, MA 02030-2426
(617) 818-0573

Taxonomy

Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
50 - 055978
NY
1223D0001X
Public Health Dentistry
DN1855922
MA
1223P0221X
Pediatric Dentistry
Primary
50 - 055978
NY
1223P0221X
Pediatric Dentistry
DN1855922
MA

Other

Enumeration date
06/18/2007
Last updated
02/27/2013
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