Individual
DR. MARVIN JAY OSTERHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
22221 7TH AVE S, STE B, DES MOINES, WA 98198-6223
(206) 878-2673
(206) 870-7044
Mailing address
22221 7TH AVE S, STE B, DES MOINES, WA 98198-6223
(206) 878-2673
(206) 870-7044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE00005858
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5083704
—
WA
Enumeration date
10/03/2006
Last updated
07/09/2007
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