Individual
THOMAS OTTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18945 FM 2252 STE 115, GARDEN RIDGE, TX 78266-2797
(757) 646-3288
Mailing address
18945 FM 2252 STE 115, GARDEN RIDGE, TX 78266-2797
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
—
—
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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