Individual
DR. LARRY J OESTERLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
ORAL HEALTH CENTER, 13065 EAST 17TH AVE, AURORA, CO 80010
(720) 848-2521
Mailing address
11693 E LAKE PL, ENGLEWOOD, CO 80111-5849
(720) 848-2521
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
16217
TX
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7100
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02071009
—
CO
Enumeration date
06/23/2005
Last updated
07/08/2007
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