| Kakaris Family Dentistry Pc | |
|
21080 Allen Rd Suite A Woodhaven MI 48183-1602 | |
| (734) 676-1656 | |
| (734) 362-8662 |
| Full Name | Kakaris Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21080 Allen Rd, Woodhaven, Michigan |
| Authorized Official Name and Position | Arestea Athanasios Kakaris (CEO) |
| Authorized Official Contact | 7346761656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kakaris Family Dentistry Pc 21080 Allen Rd Suite A Woodhaven MI 48183-1602 Ph: (734) 676-1656 | Kakaris Family Dentistry Pc 21080 Allen Rd Suite A Woodhaven MI 48183-1602 Ph: (734) 676-1656 |
| NPI Number | 1477766327 |
|---|---|
| Provider Enumeration Date | 05/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477766327 | NPI | - | NPPES |
| 1223G0001X | Other | MI | GENERAL DENTIST |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 014845 (Michigan) | Primary |
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