Individual
DR. EFSTATHIOS GIANNOUTSOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2161 46TH ST, ASTORIA, NY 11105-1333
(917) 518-9128
Mailing address
2161 46TH ST, ASTORIA, NY 11105-1333
(917) 518-9128
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052416
NY
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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