Individual
DR. THEODORE MANTZIKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
220 WESTCHESTER AVENUE, WHITE PLAINS, NY 10604
(914) 946-5860
(914) 946-0537
Mailing address
220 WESTCHESTER AVENUE, WHITE PLAINS, NY 10604
(914) 946-5860
(914) 946-0537
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
043104-1
NY
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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