RAFAA POOTA, RDH

Dental Hygienist

Active Individual
NPI: 1104790823

Practice Address

45264 NORTHPORT DR APT 6205
Macomb, MI 48044

Phone: (586) 420-0861

Specialties

Specialty Code Primary License
Dental Hygienist 124Q00000X Yes 2902018505 (MI)

Frequently Asked Questions

NPI 1104790823 is the National Provider Identifier for RAFAA POOTA, RDH, a Dental Hygienist provider located in Macomb, MI. This NPI was enumerated on October 4, 2025.
RAFAA POOTA, RDH practices at 45264 NORTHPORT DR APT 6205, Macomb, MI 48044.

Quick Facts

NPI
1104790823
Type
Individual
Enumerated
Oct 4, 2025
Last Updated
Oct 24, 2025

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