Individual provider · Type 1 NPI

Rita Fandakly

General Practice Dentistry · Roseville, MI

NPI number 1114067071 Active

About NPI 1114067071

Rita Fandakly's National Provider Identifier is 1114067071, issued on Feb 7, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Roseville, MI. The record was last updated on Jul 8, 2007.