Organization
AESTHETIC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY OSTERHOUT DMD (OWNER)
(918) 706-5584
Entity
Organization
Contact information
Practice address
1608 E MAIN, CUSHING, OK 74023-0000
(918) 706-5584
Mailing address
1608 E MAIN, CUSHING, OK 74023-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2011
Last updated
04/08/2011
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