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Individual

MRS. DEMITROULA KOUZOUNAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
618 US ROUTE ONE, SUITE 4, SCARBOROUGH, ME 04074
(207) 883-3229
(207) 883-1184
Mailing address
361 SEASIDE AVE, SACO, ME 04072
(207) 934-1877
(207) 883-1184

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2884
ME

Other

Enumeration date
11/27/2006
Last updated
07/08/2007
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