Individual
DR. PHILIP JOHN VASSILOPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., D.M.D.
Contact information
Practice address
2202 CAMINO RAMON, SAN RAMON, CA 94583-1328
(925) 830-9800
(925) 830-9801
Mailing address
2202 CAMINO RAMON, SAN RAMON, CA 94583-1328
(925) 830-9800
(925) 830-9801
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
63089
CA
1223P0300X
Periodontics
DN16639
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265908404
GROUP NPI
CA
Enumeration date
04/10/2007
Last updated
09/24/2021
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