Individual
DR. RITA FANDAKLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20737 E 13 MILE RD, ROSEVILLE, MI 48066-4503
(586) 294-7810
Mailing address
2098 MEADOW REED DR, STERLING HEIGHTS, MI 48314-2743
(586) 506-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901019132
MI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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