Individual
DR. GEORGE C DOURMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3089 36TH ST, ASTORIA, NY 11103-4704
(718) 278-4419
(718) 777-7227
Mailing address
152 DOGWOOD RD, ROSLYN, NY 11576-3015
(516) 626-9446
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
046016
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01759902
—
NY
Enumeration date
01/21/2007
Last updated
07/08/2007
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