Individual
DR. KONSTANTINE PANTELIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
505 S UNION AVE, ALLIANCE, OH 44601-2928
(330) 821-0145
(330) 821-6019
Mailing address
505 S UNION AVE, ALLIANCE, OH 44601-2928
(330) 821-0145
(330) 821-6019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
28604
CA
1223G0001X
General Practice Dentistry
Primary
30-01-5892
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2161057
—
OH
01
—
9180702
DORAL DENTAL
OH
Enumeration date
06/16/2005
Last updated
12/21/2007
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