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Rita Fandakly
NPI 1114067071 · on the registry since 2007
Practice
- Address
- 20737 E 13 Mile Rd
Roseville, MI 48066 - Phone
- (586) 294-7810
- Organisation at this address
- David A. Susko, Dds
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan