Organization
POLITIMI MANTZOURANIS DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ARRINGTON (PATIENT CARE COORDINATOR/MANAGER)
(301) 662-8675
Entity
Organization
Contact information
Practice address
140 THOMAS JOHNSON DR, SUITE 203, FREDERICK, MD 21702-4483
(301) 662-8675
(301) 662-8975
Mailing address
140 THOMAS JOHNSON DR, SUITE 203, FREDERICK, MD 21702-4483
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8159
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285773531
NPI INDIVIDUAL NUMBER
—
Enumeration date
04/29/2008
Last updated
04/29/2008
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