| Panagiota Stathopoulou Dmd Llc | |
|
9300 Se 91st Ave Ste 403 Happy Valley OR 97086-3762 | |
| (503) 653-2299 | |
| Not Available |
| Full Name | Panagiota Stathopoulou Dmd Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 9300 Se 91st Ave Ste 403, Happy Valley, Oregon |
| Authorized Official Name and Position | Panagiota Stathopoulou (OWNER) |
| Authorized Official Contact | 5036532299 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Panagiota Stathopoulou Dmd Llc 9300 Se 91st Ave Ste 403 Happy Valley OR 97086-3762 Ph: (503) 653-2299 | Panagiota Stathopoulou Dmd Llc 9300 Se 91st Ave Ste 403 Happy Valley OR 97086-3762 Ph: (503) 653-2299 |
| NPI Number | 1790415537 |
|---|---|
| Provider Enumeration Date | 06/14/2022 |
| Last Update Date | 06/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790415537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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