# KAKARIS FAMILY DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477766327
- **Authorized official:** DR. ARESTEA ATHANASIOS KAKARIS DDS (CEO)
- **Authorized official phone:** (734) 676-1656

## Contact information

- **Practice address:** 21080 ALLEN RD, SUITE A, WOODHAVEN, MI 48183-1602
- **Practice address phone:** (734) 676-1656
- **Practice address fax:** (734) 362-8662
- **Mailing address:** 21080 ALLEN RD, SUITE A, WOODHAVEN, MI 48183-1602
- **Mailing address phone:** (734) 676-1656
- **Mailing address fax:** (734) 362-8662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 014845 | MI | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1223G0001X | GENERAL DENTIST | MI |