Individual
DR. SHERETTA OATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38865 DEQUINDRE RD, SUITE 105, TROY, MI 48083-6812
(248) 879-7755
(248) 879-4526
Mailing address
38865 DEQUINDRE RD, SUITE 105, TROY, MI 48083-6812
(248) 879-7755
(248) 879-4526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901016829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124169910
—
MI
Enumeration date
11/08/2007
Last updated
11/08/2007
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