| Doctor Name: | ANTHOULA TZANNETOULAKOU |
| NPI Number: | 1003080466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.M.D. |
| License Number: | 19177 |
| Business Practice Address: | 11540 Vista Del Sol Dr El Paso, TX - 799365617 |
| Business Phone Number: | 9155901410 |
| Business Fax Number: | 9155901412 |
| Mailing Address: | 11540 Vista Del Sol Dr, EL PASO |
| State: | TX |
| Postal Code: | 799365617 |
| Phone Number: | 9155901410 |
| Fax Number: | 9155901412 |
| NPI Enumeration Date: | 04/16/2008 |
| NPI Last Update Date: | 04/16/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0700X |
| License Number: | 19177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Prosthodontics |
| Taxonomy Definition: | That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |