Individual
DR. ANITA L REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
25775 W 10 MILE RD, SUITE 104, SOUTHFIELD, MI 48034-4856
(248) 354-6364
(248) 354-2486
Mailing address
25775 W TEN MILE, SUITE #104, SOUTHFIELD, MI 48034
(248) 354-6364
(248) 354-2486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
012836
MI
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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