Individual
JOHN S THEODOROU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
19380 COLLINS AVE, UNIT 1122-B, SUNNY ISLES BEACH, FL 33160-2239
(305) 801-7537
Mailing address
19380 COLLINS AVE, UNIT 1122-B, SUNNY ISLES BEACH, FL 33160-2239
(305) 801-7537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN3019
FL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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