Provider Demographics
NPI:1407935778
Name:COTSONAS, LILLI ZOE (DDS)
Entity Type:Individual
Prefix:DR
First Name:LILLI
Middle Name:ZOE
Last Name:COTSONAS
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5057 SOUTH CONGRESS AVE
Mailing Address - Street 2:SUITE 401
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33461
Mailing Address - Country:US
Mailing Address - Phone:561-965-6003
Mailing Address - Fax:561-965-8447
Practice Address - Street 1:5057 SOUTH CONGRESS AVE
Practice Address - Street 2:SUITE 401
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33461
Practice Address - Country:US
Practice Address - Phone:561-965-6003
Practice Address - Fax:561-965-8447
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN100151223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice