Organization
KATERINA SIOUTIS DMD, LLC
Active
Other names
Media Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEAN KANELLOPOULOS (OFFICE MANAGER)
(610) 566-3600
Entity
Organization
Contact information
Practice address
415 E BALTIMORE AVE STE 2, MEDIA, PA 19063-3538
(610) 566-3600
Mailing address
415 E BALTIMORE AVE STE 2, MEDIA, PA 19063-3538
(610) 566-3600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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