Organization
PLYMOUTH ENDODONTICS
Active
Other names
Plymouth Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE J. VLAHAKIS DDS (OWNER)
(734) 459-8844
Entity
Organization
Contact information
Practice address
9416 S MAIN ST STE 212, PLYMOUTH, MI 48170-4148
(734) 459-8844
Mailing address
9416 S MAIN ST STE 212, PLYMOUTH, MI 48170-4148
(734) 459-8844
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356469787
—
MI
05
—
160911863
—
MI
Enumeration date
07/09/2020
Last updated
07/09/2020
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