# MANOLIS THANASAS DDS, PLC

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

## Provider details

- **NPI number:** 1831429653
- **Authorized official:** DR. MANOLIS THANASAS D.D.S. (OWNER)
- **Authorized official phone:** (734) 626-3211

## Contact information

- **Practice address:** 4780 ROCHESTER RD, TROY, MI 48085-4929
- **Practice address phone:** (248) 689-9012
- **Mailing address:** 4780 ROCHESTER RD, TROY, MI 48085-4929
- **Mailing address phone:** (248) 689-9012

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2901017525 | MI | Yes |

## Other

- **Enumeration date:** 12/29/2009
- **Last updated:** 12/29/2009