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Individual

GLENN LEE OSTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1518 JADWIN AVE, RICHLAND, WA 99354-2902
(509) 946-6566
(509) 946-0544
Mailing address
1518 JADWIN AVE, RICHLAND, WA 99354-2902
(509) 946-6566
(509) 946-0544

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
05859
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05859
STATE LICENSE #
WA
Enumeration date
02/06/2007
Last updated
07/08/2007
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