Individual provider · Type 1 NPI

Kalia Theodorou, DDS

Periodontics · Columbus, OH

NPI number 1144882242 Active

Practice location

305 W 12th Ave
Columbus, OH 43210-1267

Mailing address

190 S High St Apt 574
Columbus, OH 43215-3676

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XRES.004068 (OH)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1144882242

Kalia Theodorou, DDS's National Provider Identifier is 1144882242, issued on Jun 28, 2019. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Columbus, OH. The record was last updated on Jun 28, 2019.