Individual
DR. ELIZABETH FRANCES RALSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
39400 GARFIELD RD, NORTHEAST PROFESSIONAL BUILDING, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-0700
Mailing address
39400 GARFIELD ROAD, NORTHEAST PROFESSIONAL BUILDING, CLINTON TOWNSHIP, MI 48038-4096
(586) 286-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901019867
MI
1223P0221X
Pediatric Dentistry
Primary
2901019867
MI
Other
Enumeration date
05/21/2008
Last updated
07/21/2010
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