Individual
DR. PANOS GEORGE GOUPIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
573 N 1000 W, CLEARFIELD, UT 84015-9368
(801) 776-1000
(801) 776-5277
Mailing address
573 N 1000 W, CLEARFIELD, UT 84015-9368
(801) 776-1000
(801) 776-5277
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
315565-9922
UT
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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