Individual
DR. JAIE WAKADE OAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
714 ABBOT RD, EAST LANSING, MI 48823-3101
(517) 337-0351
Mailing address
2744 BARCLAY WAY, ANN ARBOR, MI 48105-9458
(248) 613-1848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020875
MI
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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