institution
Mike Kostakos, Dds, P.c.
Dental Clinic/Center in Southfield, Michigan
NPI 1295441822

Mike Kostakos, Dds, P.c. is a Dental Clinic/Center based in Southfield, MI and is specialized in Dental. Mike Kostakos, Dds, P.c. practices in Southfield, MI. The NPI Number for Mike Kostakos, Dds, P.c. is 1295441822 and holds a License No. (Michigan).

The current practice location address for Mike Kostakos, Dds, P.c. is 20307 W 12 Mile Rd Ste 101, Southfield, MI and can be reached out via phone at 248-559-1220 and via fax at 248-559-4300.

Location: 20307 W 12 Mile Rd Ste 101, Southfield, MI, 48076-5407
institution
Provider Profile Details
NPI Number
1295441822
Provider Name
Mike Kostakos, Dds, P.c.
Credential
Provider Entity Type
Organization
Address
20307 W 12 Mile Rd Ste 101, Southfield, MI, 48076-5407
Phone Number
248-559-1220
Fax Number
248-559-4300
Provider Enumeration Date
01/26/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1700932241 05 MI
institution
Provider Business Practice Location Address Details
Address
20307 W 12 Mile Rd Ste 101
City
State
Zip
48076-5407
Phone Number
248-559-1220
Fax Number
248-559-4300
person
Provider Business Mailing Address Details
Address
20307 W 12 Mile Rd Ste 101
City
State
Zip
48076-5407
Phone Number
248-559-1220
Fax Number
248-559-4300
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
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Definition
Definition to come...
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