Most Relevant Information
Provider Data
| NPI Number: | 1003438938 |
| Provider Name: | KONSTANTINOS STATHOPOULOS D.D.S |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 061934 |
Most Important Dates
| Enumeration Date: | 05/14/2020 |
| Last Updated: | 09/01/2021 |
Provider Practice Location
2925 W 19TH ST
BROOKLYN
NY
112242501
Practice Location Phone/Fax
| Phone: | 3477431275 |
| Fax: |
Provider Mailing Location
1902 147TH ST
WHITESTONE
NY
113573040
Provider Mailing Phone/Fax
| Phone: | 3477431275 |
| Fax: |