Organization
PANAGIOTA STATHOPOULOU DMD LLC
Active
Other names
Fusion Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PANAGIOTA STATHOPOULOU DMD (OWNER)
(503) 653-2299
Entity
Organization
Contact information
Practice address
9300 SE 91ST AVE STE 403, HAPPY VALLEY, OR 97086-3762
(503) 653-2299
Mailing address
9300 SE 91ST AVE STE 403, HAPPY VALLEY, OR 97086-3762
(503) 653-2299
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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