Individual
DR. ALLYSSA RAE OSTROWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
585 TAHOE KEYS BLVD STE 2, SOUTH LAKE TAHOE, CA 96150-3371
(732) 963-7960
Mailing address
585 TAHOE KEYS BLVD STE 2, SOUTH LAKE TAHOE, CA 96150-3371
(732) 963-7960
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108170
CA
122300000X
Dentist
DGD.10230
SC
Other
Enumeration date
06/22/2022
Last updated
03/28/2023
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