# OSTLER FAMILY DENTAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548555683
- **Authorized official:** DR. DAVID RICKARD OSTLER D.M.D (DOCTOR/OWNER)
- **Authorized official phone:** (623) 566-1310

## Contact information

- **Practice address:** 20542 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9749
- **Practice address phone:** (623) 566-1310
- **Practice address fax:** (623) 566-1331
- **Mailing address:** 20542 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9749
- **Mailing address phone:** (623) 566-1310
- **Mailing address fax:** (623) 566-1331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5619 | AZ | Yes |

## Other

- **Enumeration date:** 06/16/2011
- **Last updated:** 06/16/2011