Individual
KELLIE RATAJCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
120 N WASHINGTON SQ OFC 378, LANSING, MI 48933-1617
(888) 964-6681
(888) 662-0859
Mailing address
100 CROSSING BLVD STE 300, FRAMINGHAM, MA 01702-5555
(617) 964-6681
(339) 686-2561
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902012331
MI
Other
Enumeration date
03/14/2022
Last updated
03/14/2022
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