Individual
SUSAN B. OATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9194 RED BRANCH RD, SUITE A, COLUMBIA, MD 21045-2005
(410) 730-0011
Mailing address
9194 RED BRANCH RD, SUITE A, COLUMBIA, MD 21045-2005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9479
MD
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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