Individual
DR. MICHAEL ERMOLAOS DINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
201 3RD ST N, LA CROSSE, WI 54601
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
0401008975
VA
1223P0300X
Periodontics
Primary
1001781-15
WI
Other
Enumeration date
05/05/2006
Last updated
08/31/2021
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