Individual
DR. THANE LESLIE OSTROTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3310 CROOKS RD, ROYAL OAK, MI 48073-2446
(248) 435-3910
(248) 435-4270
Mailing address
3310 CROOKS RD, ROYAL OAK, MI 48073-2446
(248) 435-3910
(248) 435-4270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012205
MI
Other
Enumeration date
06/05/2006
Last updated
07/08/2007
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