Individual
IOANNA KOUKOUSAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1870 N STONEBRIDGE DR # 110, MCKINNEY, TX 75071-7443
(214) 592-0692
Mailing address
6150 ALMA RD APT 1439, MCKINNEY, TX 75070-6965
(817) 908-1811
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
40158
TX
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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