MARIO ENDIAKOV

DETROIT, MI
NPI1194217166
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MI  2901602634)
Additional Taxonomies122300000X Dentist
(Licence: IL  019031843)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  2901602634)
Enumeration Date2018-06-05
Last Update Date2025-09-02
Business Address
Dr. MARIO ENDIAKOV DMD
13874 GRAND RIVER AVE
DETROIT, MI 48227-3123
Phone number: 313-834-4900
Mailing Address
Dr. MARIO ENDIAKOV DMD
13874 GRAND RIVER AVE
DETROIT, MI 48227-3123
Phone number: 313-834-4900