TERRI FATA

DETROIT, MI
NPI1205134772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: MI  2902008635)
Enumeration Date2011-03-08
Last Update Date2011-03-08
Business Address
Miss TERRI FATA RDH
559 W GRAND BLVD
DETROIT, MI 48216-2200
Phone number: 313-554-3880
Mailing Address
Miss TERRI FATA RDH
38372 TIMBERLAND DR
WESTLAND, MI 48185-2688
Phone number: 734-207-6297
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