Organization
KAKARIS FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARESTEA ATHANASIOS KAKARIS DDS (CEO)
(734) 676-1656
Entity
Organization
Contact information
Practice address
21080 ALLEN RD, SUITE A, WOODHAVEN, MI 48183-1602
(734) 676-1656
(734) 362-8662
Mailing address
21080 ALLEN RD, SUITE A, WOODHAVEN, MI 48183-1602
(734) 676-1656
(734) 362-8662
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
014845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
GENERAL DENTIST
MI
Enumeration date
05/08/2007
Last updated
08/22/2020
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