Individual
RAFAA SAMEER POOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
45264 NORTHPORT DR APT 6205, MACOMB, MI 48044-5301
(586) 420-0861
Mailing address
45264 NORTHPORT DR APT 6205, MACOMB, MI 48044-5301
(586) 420-0861
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902018505
MI
Other
Enumeration date
10/04/2025
Last updated
10/24/2025
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