Individual
DR. THANOS T KRISTALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1212 NEW YORK AVE NW, STE 425, WASHINGTON, DC 20005-3987
(202) 737-1850
Mailing address
1212 NEW YORK AVE NW, STE 425, WASHINGTON, DC 20005-3987
(202) 737-1850
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DEN5317
DC
1223P0700X
Prosthodontics
Primary
DEN5317
DC
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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