Individual
DR. MARIE DOULAVERAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
923 W ARROW HWY, SAN DIMAS, CA 91773-2420
(909) 592-5599
(909) 599-1191
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 508-3600
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53128
CA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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