Individual
DR. DEMETRIOS MIHALOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
350 5TH AVENUE, SUITE 1525, NEW YORK, NY 10118
(212) 279-1232
Mailing address
93 BIRCH HL, ALBERTSON, NY 11507-1001
(917) 647-5180
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051167
NY
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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