Individual
DR. MICHAEL A KOUMARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
9525 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 333-9697
(215) 333-8514
Mailing address
9525 FRANKFORD AVE, PHILADELPHIA, PA 19114-2812
(215) 333-9697
(215) 333-8514
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DS037303
PA
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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