Individual
ALEXANDER ATHANASIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
966C PARK ST, STOUGHTON, MA 02072-3650
(781) 341-0030
(781) 341-1166
Mailing address
41 DEAN ST, SOUTH EASTON, MA 02375-1433
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
20896
MA
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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