Individual
DR. KYLE T OSTENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
217 S MORRISON RD, VANCOUVER, WA 98664-1436
(360) 693-3112
Mailing address
217 S MORRISON RD, VANCOUVER, WA 98664-1436
(360) 693-3112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DE6017818
WA
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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