Organization · Type 2 NPI
Mike Kostakos, Dds, P.c.
Dental Clinic/Center · Southfield, MI
NPI number
1295441822
Active
Practice location
20307 W 12 Mile Rd Ste 101
Southfield, MI 48076-5407
Fax (248) 559-4300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1295441822
Mike Kostakos, Dds, P.c.'s National Provider Identifier is 1295441822, issued on Jan 26, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Southfield, MI. The record was last updated on Jan 26, 2023.