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Individual

RUWAIDA G TOOTLA

Active
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Individual

RUWAIDA G TOOTLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901018717
MI
1223G0001X
General Practice Dentistry
2901018717
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958111760
BCBS OF MI MED SURGICAL
MI
05
—
2667574
—
OH
05
—
4784446
—
MI
05
—
4784455
—
MI
01
—
D187170
BCBS OF MI DENTAL
MI
Enumeration date
03/27/2007
Last updated
09/11/2025
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