Individual
STAVROS OIKONOMOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
660 WASHINGTON ST APT 25G, BOSTON, MA 02111-3243
(617) 888-3390
Mailing address
660 WASHINGTON ST APT 25G, BOSTON, MA 02111-3243
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DL11006
MA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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