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Individual
DR. STIG K A OSTERBERG
Active
Individual
DR. STIG K A OSTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MSD
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE00005095
WA
1223P0300X
Periodontics
Primary
DE00005095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0156577
L AND I
—
01
—
662902093
ACA
—
Enumeration date
09/13/2005
Last updated
09/09/2010
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