Ralstrom, Curt S

Ralstrom, Curt S is an individual health care provider with primary practice located at 39400 Garfield Rd Suite 200, Clinton Township MI 48038-4096. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ralstrom, Curt S can be contacted via phone (586) 286-0700.

Contact Information

Primary practice address
39400 Garfield Rd Suite 200 Clinton Township MI 48038-4096
Fax: (586) 286-5969
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 12550 Michigan

Profile Details

NPI number 1104933233
LBN Legal business name Ralstrom, Curt S
Credentials DDS,MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104933233 NPPES
Michigan MEDICAID 4063457

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