Individual
ALEXANDER ATHANASIOS KAKARIS PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
21080 ALLEN RD, WOODHAVEN, MI 48183-1602
(734) 676-1656
Mailing address
26024 HEATHER LN, GROSSE ILE, MI 48138-1824
(734) 353-2068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901600905APP21
MI
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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