| Ostenson Dental | |
|
217 S Morrison Rd Vancouver WA 98664-1436 | |
| (360) 693-3112 | |
| Not Available |
| Full Name | Ostenson Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 217 S Morrison Rd, Vancouver, Washington |
| Authorized Official Name and Position | Gary Louis Ostenson (OWNER) |
| Authorized Official Contact | 3606933112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ostenson Dental 217 S Morrison Rd Vancouver WA 98664-1436 Ph: () - | Ostenson Dental 217 S Morrison Rd Vancouver WA 98664-1436 Ph: (360) 693-3112 |
| NPI Number | 1427502095 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427502095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DE60167618 (Washington) | Secondary |
| 261QD0000X | Clinic/center - Dental | DE00004387 (Washington) | Primary |
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