Organization
OSTENSON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY LOUIS OSTENSON DDS (OWNER)
(360) 693-3112
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE00004387
WA
261QD0000X
Dental Clinic/Center
DE60167618
WA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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