Individual
DR. ROBERT JAMES KAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1150 GRIMES BRIDGE RD, SUITE 200, ROSWELL, GA 30075-3988
(770) 992-4844
(770) 641-1511
Mailing address
1150 GRIMES BRIDGE RD, SUITE 200, ROSWELL, GA 30075-3988
(770) 992-4844
(770) 641-1511
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN008427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
581377835
TAX IDENTIFICATION NUMBE
—
Enumeration date
07/20/2006
Last updated
03/31/2009
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