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1700932241
MIKE KOSTAKOS
SOUTHFIELD, MI
NPI
1700932241
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI Mi-13614)
Enumeration Date
2007-01-26
Last Update Date
2007-07-08
Business Address
Dr. MIKE KOSTAKOS D.D.S
16931 W 10 MILE RD
SOUTHFIELD, MI 48075-2919
Phone number: 248-559-1220
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Mailing Address
Dr. MIKE KOSTAKOS D.D.S
16931 W 10 MILE RD
SOUTHFIELD, MI 48075-2919
Phone number: 248-559-1220
Copy
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