Koutlas, Ioannis
Koutlas, Ioannis is an individual health care provider with primary practice located at 515 Delaware St Se 16-116 Moos Tower, Minneapolis MN 55455-0357. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Koutlas, Ioannis can be contacted via phone (612) 626-5844.Contact Information
Primary practice address
515 Delaware St Se 16-116 Moos Tower
Minneapolis MN 55455-0357
Phone: (612) 626-5844
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Pathology | 1223P0106X | D11102 | Minnesota |
Profile Details
| NPI number | 1447361332 |
|---|---|
| LBN Legal business name | Koutlas, Ioannis |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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