| Marie Doulaverakis Dds Inc. | |
|
5828 Adenmoor Ave Lakewood CA 90713-1002 | |
| (562) 867-2612 | |
| (562) 210-5255 |
| Full Name | Marie Doulaverakis Dds Inc. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5828 Adenmoor Ave, Lakewood, California |
| Authorized Official Name and Position | Marie Doulaverakis (OWNER/DOCTOR) |
| Authorized Official Contact | 9177424796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marie Doulaverakis Dds Inc. 5828 Adenmoor Ave Lakewood CA 90713-1002 Ph: (562) 867-2612 | Marie Doulaverakis Dds Inc. 5828 Adenmoor Ave Lakewood CA 90713-1002 Ph: (562) 867-2612 |
| NPI Number | 1316665904 |
|---|---|
| Provider Enumeration Date | 08/18/2022 |
| Last Update Date | 08/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316665904 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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