Individual
DR. MANOLIS THANASAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4780 ROCHESTER RD, TROY, MI 48085-4929
(248) 689-9012
Mailing address
3243 CAMDEN DR, TROY, MI 48084-7028
(248) 649-2228
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017525
MI
Other
Enumeration date
08/05/2008
Last updated
01/07/2010
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