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DT PERIODONTICS AND COSMETIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEMETRIOS TSIOKOS DDS (DENTIST)
(516) 343-7322
Entity
Organization

Contact information

Practice address
15 BOND ST, SUITE 210, GREAT NECK, NY 11021-2016
(516) 487-8240
(516) 482-2544
Mailing address
15 BOND ST, SUITE 210, GREAT NECK, NY 11021-2016
(516) 487-8240
(516) 482-2544

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
03/09/2015
Last updated
03/09/2015
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