Individual
DR. EVONNE MARIE KAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DR
Contact information
Practice address
3847 MONROE, DEARBORN, MI 48124
(313) 561-5300
Mailing address
22926 NONA, DEARBORN, MI 48124
(313) 730-0534
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015407
MI
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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