Iramis Kouromenos
Dental Assistant Dental Hygienist
1721 University Ave Apt#209
Berkeley
, California 94703
Iramis Kouromenos
Dental Assistant Dental Hygienist
1721 University Ave Apt#209
Berkeley
, California 94703
(510) 323-6533
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About
Features
Specialties
- Dental Hygienist
- Dental Assistant
Languages spoken
- English
Location
First Address
- Iramis Kouromenos
- 1721 University Ave Apt 209
- Berkeley, CA
- Zip : 94703
- Phone : (510) 323-6533
Second Address
- Iramis Kouromenos
- 1721 University Ave Apt#209
- Berkeley, CA
- Zip : 94703
- Phone : (510) 323-6533
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Is Iramis Kouromenos a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 25615 | CA |
| N | 126800000X | Dental Assistant | AEF885 | CA |
National Provider Identifier
| NPI | 1104126200 |
|---|---|
| Provider Name | Iramis Kouromenos |
| First Address | Berkeley, CA 94703 |
| Second Address | Berkeley, CA 94703 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2010 |
| Last Update Date | 25/10/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.