Individual
MICHAEL VLASSAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9567
(609) 652-0888
Mailing address
6 LOCUST CT, MOUNT LAUREL, NJ 08054-2522
(609) 314-8779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02992200
NJ
122300000X
Dentist
DS043641
PA
Other
Enumeration date
06/02/2022
Last updated
04/21/2026
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