Individual
KOSTANTINA TINA GIANNACOPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
400 COMMONWEALTH AVE STE 3, BOSTON, MA 02215-2813
(617) 266-8770
Mailing address
400 COMMONWEALTH AVE STE 3, BOSTON, MA 02215-2813
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN1856902
MA
Other
Enumeration date
06/12/2015
Last updated
10/25/2024
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