Individual
DR. DEAN COPOULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 N MAYFAIR RD, WAUWATOSA, WI 53226
(414) 771-1228
Mailing address
2600 N MAYFAIR RD, WAUWATOSA, WI 53226
(414) 771-1228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2333
WI
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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