Organization
MANOLIS THANASAS DDS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANOLIS THANASAS D.D.S. (OWNER)
(734) 626-3211
Entity
Organization
Contact information
Practice address
4780 ROCHESTER RD, TROY, MI 48085-4929
(248) 689-9012
Mailing address
4780 ROCHESTER RD, TROY, MI 48085-4929
(248) 689-9012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901017525
MI
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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