Provider Demographics
NPI:1861588170
Name:SLEUTELBERG, ESTER ROSALIE (DDS)
Entity type:Individual
Prefix:DR
First Name:ESTER
Middle Name:ROSALIE
Last Name:SLEUTELBERG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15421 W 9 MILE RD
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-2516
Mailing Address - Country:US
Mailing Address - Phone:248-968-2266
Mailing Address - Fax:248-968-2006
Practice Address - Street 1:15421 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:MI
Practice Address - Zip Code:48237-2516
Practice Address - Country:US
Practice Address - Phone:248-968-2266
Practice Address - Fax:248-968-2006
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI0129221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice