Individual
KATELIN E RATLIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
7185 FENTON RD, GRAND BLANC, MI 48439-8892
(810) 694-2770
Mailing address
7185 FENTON RD, GRAND BLANC, MI 48439-8892
(810) 694-2770
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2901020873
MI
1223G0001X
General Practice Dentistry
6527
WI
1223P0221X
Pediatric Dentistry
Primary
2901020873
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619298874
—
MI
05
—
1619298874
—
WI
Enumeration date
06/22/2010
Last updated
03/27/2024
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