Individual
DR. EVANGELOS PAPATHANASIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6530
(617) 636-0911
Mailing address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6530
(617) 636-0911
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
10394
MA
Other
Enumeration date
01/15/2009
Last updated
01/15/2009
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