Individual
ATHANASIOS NTOUNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS,MS
Contact information
Practice address
609 JEFFERSON DAVIS HWY, SUITE 101, FREDERICKSBURG, VA 22401-4566
(540) 373-3066
Mailing address
609 JEFFERSON DAVIS HWY, SUITE 101, FREDERICKSBURG, VA 22401-4566
(540) 373-3066
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401414860
VA
Other
Enumeration date
09/05/2013
Last updated
04/05/2016
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