CARLOTTA FANTIN-YUSTA

DETROIT, MI
NPI1164991600
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: FL  24041)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2018-11-14
Last Update Date2019-12-03
Business Address
CARLOTTA FANTIN-YUSTA DDS
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 313-576-1000
Mailing Address
CARLOTTA FANTIN-YUSTA DDS
13803 NW 21ST LN
GAINESVILLE, FL 32606-5348
Phone number: 248-981-8634