Individual provider · NPI-1

Ilias G Alevizos, D.M.D.

Dentist · Bethesda, MD

NPI number1609019223
StatusActive
Last updated in NPPESApr 13, 2009

Details

NPI
1609019223
Entity type
Individual (NPI-1)
Name
Ilias G Alevizos
Credential
D.M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Apr 13, 2009
Last updated
Apr 13, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistDN19527MAYes

Practice location

9000 Rockville Pike
Bldg 10/Room 1n110
Bethesda, MD 20892-0001

Phone 301-496-6207

Mailing address

4242 E West Hwy
Apt#610
Chevy Chase, MD 20815-5934

Phone 301-496-6207

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