SearchTexas1223X0400X

Peter Theodorou, DMD, MS

NPI 1598899049 · on the registry since 2007 · sole proprietor

Practice

Address
2800 William D Tate Ave Ste 100
Grapevine, TX 76051
Phone
(817) 562-2222
Organisation at this address
Jason S. Daaboul Dds Pa
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
1223X0400X
1223X0400X
Also registered as
1223X0400X
1223X0400X
Licence states on file
NY, CA, TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-11-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas