Individual
DR. JAMES D KOUTSOUKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
805 E MAIN ST STE STAMFORD, STAMFORD, CT 06902-3870
(203) 973-0533
(203) 973-0533
Mailing address
805 E MAIN ST STE STAMFORD, STAMFORD, CT 06902-3870
(203) 973-0533
(203) 973-0533
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
7724
CT
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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