Search › Michigan › 122300000X
Mario Endiakov, DMD
NPI 1194217166 · on the registry since 2018 · sole proprietor
Practice
- Address
- 13874 Grand River Ave
Detroit, MI 48227 - Phone
- (313) 834-4900
- Organisation at this address
- Dacorona Dds Pllc
J Y Dental Dmd Pllc
Dana Dental Dds Pllc
Metro Dental Rx Pllc
Borson Dental Dds PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Additional practice sites
- 2700 Martin Luther King Jr Blvd, Detroit, MI
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
390200000X - Licence states on file
- IL, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan