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Individual

MRS. RISTA URUKALO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 993-0831
Mailing address
363 CYANNA CT, LAKESHORE, ONTARIO N8N5H-1
(519) 979-6188

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
16642
MI

Other

Enumeration date
11/15/2006
Last updated
07/08/2007
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