| Dr Theodore W Kondos Dds Pc | |
|
2208 No Broadway Poteau OK 74953 | |
| (918) 647-8266 | |
| (918) 647-9118 |
| Full Name | Dr Theodore W Kondos Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 2208 No Broadway, Poteau, Oklahoma |
| Authorized Official Name and Position | Theodore Nicholas Kondos (CEO DDS) |
| Authorized Official Contact | 9186478266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Theodore W Kondos Dds Pc Po Box 933 Poteau OK 74953 Ph: (918) 647-8266 | Dr Theodore W Kondos Dds Pc 2208 No Broadway Poteau OK 74953 Ph: (918) 647-8266 |
| NPI Number | 1457518060 |
|---|---|
| Provider Enumeration Date | 05/21/2008 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457518060 | NPI | - | NPPES |
| 973697 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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