Individual
MIMIKA STEFOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
3100 E EISENHOWER PKWY, #300, ANN ARBOR, MI 48108-5205
(734) 971-3450
Mailing address
1771 PLYMOUTH RD, APT 301, ANN ARBOR, MI 48105-2279
(248) 207-4777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021651
MI
Other
Enumeration date
03/22/2016
Last updated
03/22/2016
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