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Organization

CHRISTOPHER M OSTENDORF DDS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER MICHAEL OSTENDORF DDS (OWNER/OPERATOR)
(218) 290-1870
Entity
Organization

Contact information

Practice address
303 PARK AVENUE, STEWARTSVILLE, MO 64490
(816) 669-3611
(816) 669-3253
Mailing address
303 PARK AVENUE, STEWARTSVILLE, MO 64490
(816) 669-3611
(816) 669-3253

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012015664
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1841546371
MY PROVIDER NPI
MO
Enumeration date
02/07/2017
Last updated
02/07/2017
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