Individual
DR. EVANGELIA GKOULITOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5207 PINNACLE PKWY, COVINGTON, LA 70433-9191
(985) 205-3171
Mailing address
5207 PINNACLE PKWY, COVINGTON, LA 70433-9191
(985) 205-3171
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
7621
LA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2901602574
MI
Other
Enumeration date
09/09/2024
Last updated
08/27/2025
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