Individual
DR. DIMITRI THEODORE TSOUKALAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14624 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2642
(708) 349-6606
Mailing address
14624 JOHN HUMPHREY DR, ORLAND PARK, IL 60462-2642
(708) 349-6606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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