Kostakos, Mike
Kostakos, Mike is an sole proprietor health care provider with primary practice located at 16931 W 10 Mile Rd , Southfield MI 48075-2919. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kostakos, Mike can be contacted via phone (248) 559-1220.Contact Information
Primary practice address
16931 W 10 Mile Rd
Southfield MI 48075-2919
Phone: (248) 559-1220
Fax: (248) 559-4300
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | MI-13614 | Michigan |
Profile Details
| NPI number | 1700932241 |
|---|---|
| LBN Legal business name | Kostakos, Mike |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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