Individual
ILIAS G ALEVIZOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9000 ROCKVILLE PIKE, BLDG 10/ROOM 1N110, BETHESDA, MD 20892-0001
(301) 496-6207
Mailing address
4242 E WEST HWY, APT#610, CHEVY CHASE, MD 20815-5934
(301) 496-6207
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19527
MA
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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