Individual
JUDI KAAKARLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
25650 OUTER DR, LINCOLN PARK, MI 48146-2096
(313) 561-5100
(313) 565-0309
Mailing address
2700 HAMLIN BLVD, INKSTER, MI 48141-2206
(313) 561-5100
(313) 565-0309
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901601375
MI
1223G0001X
General Practice Dentistry
Primary
2901601375
MI
Other
Enumeration date
09/09/2022
Last updated
05/07/2026
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