Individual
SPIRO JOHN PANTZOULAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1096 CYPRESS PKWY, KISSIMMEE, FL 34759-3328
(407) 933-8222
Mailing address
926 GREAT POND DR STE 2002, ALTAMONTE SPRINGS, FL 32714-7244
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN17517
FL
Other
Enumeration date
05/18/2007
Last updated
05/14/2015
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