Organization
TOMMY KAKOURAS DMD PA
Active
Parent organization
TOMMY KAKOURAS DMD PA
Other names
Kakouras Famiyl Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
TOMMY KAKOURAS DMD PA
Authorized official
DR. ATHANASIOS PANAGIOTIS KAKOURAS DMD (OWNER DENTIST)
(704) 504-8070
Entity
Organization
Contact information
Practice address
11020 SOUTH TRYON STREET, SUITE 401, CHARLOTTE, NC 28273-6661
(704) 504-8070
(704) 504-8885
Mailing address
11020 SOUTH TRYON STREET, SUITE 401, CHARLOTTE, NC 28273-6661
(704) 504-8070
(704) 504-8885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7838
NC
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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