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Individual

DR. DEMETRI GINOSATIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD, MSD

Contact information

Practice address
17320 135TH AVE NE STE B, WOODINVILLE, WA 98072-8565
(425) 402-1246
Mailing address
17320 135TH AVE NE STE B, WOODINVILLE, WA 98072-8565

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DE61022232
WA

Other

Enumeration date
12/10/2020
Last updated
09/17/2022
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