DR. Thane Leslie Ostroth, DDS

NPI #1174562292 in Royal Oak, Michigan

Provider Information

NPI Number: 1174562292
Entity Type: Individual
Name: DR. Thane Leslie Ostroth, DDS
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 3310 CROOKS RD
City: Royal Oak
State: Michigan
ZIP Code: 48073-2446
Phone: (248) 435-3910

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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