Individual
DR. PETER THEOHARIDIS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
241 STATION AVE, SOUTH YARMOUTH, MA 02664-1863
(508) 398-6055
(508) 398-7228
Mailing address
241 STATION AVE, SOUTH YARMOUTH, MA 02664-1863
(508) 398-6055
(508) 398-7228
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
17344
MA
Other
Enumeration date
12/26/2005
Last updated
07/08/2007
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