Individual
EUGENIA BROKALAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSC DDS
Contact information
Practice address
13205 E 14 MILE RD, STERLING HEIGHTS, MI 48312-6302
(586) 977-2410
Mailing address
3073 TROUP CRESCENT, WINDSOR, ONTARIO N8R0A-5
(519) 818-9110
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019445
MI
Other
Enumeration date
01/31/2007
Last updated
10/02/2007
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