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Individual

DEEPALI RASILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576
(248) 259-8303
Mailing address
2700 MARTIN LUTHER KING JR BLVD, DETROIT, MI 48208-2576

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2952000882
MI

Other

Enumeration date
05/21/2024
Last updated
08/15/2025
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