Terri Fata RDH

NPI 1205134772 - Dental Hygienist - 124Q00000X

NPI Details
NPI 1205134772
Gender Female
Enumeration Date 03/08/2011
Last Updated 03/08/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
559 W GRAND BLVD
DETROIT MI, 48216-2200, US
Phone (313) 554-3880
Fax
Business Location
38372 TIMBERLAND DR
WESTLAND MI, 48185-2688, US
Phone (734) 207-6297
Fax
Toxanomy
Taxonomy Code 124Q00000X
License State Michigan
License Number 2902008635
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According to our database, Miss Terri Fata RDH NPI is 1205134772, taxonomy code is 124Q00000X and license number is 2902008635, license state is located at Michigan. Terri Fata RDH physically located at 559 W Grand Blvd, Detroit MI, 48216-2200. NPI Number Terri Fata RDH has the Individual type.

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1205134772 NPI number is provided on an as is basis without warranty of any kind. 1205134772 is maintained by the National Plan & Provider Enumeration System. The contents of Terri Fata RDH are for informational purposes only.