Individual
MICHAEL WRAY OSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
950 E WHIDBEY AVE, OAK HARBOR, WA 98277-2674
(360) 675-2857
(360) 374-5448
Mailing address
950 E WHIDBEY AVE, OAK HARBOR, WA 98277-2674
(360) 675-2857
(360) 374-5448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00003981
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7084486
—
WA
Enumeration date
07/13/2007
Last updated
07/13/2007
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