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Organization

OSTLER FAMILY DENTAL, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID RICKARD OSTLER D.M.D (DOCTOR/OWNER)
(623) 566-1310
Entity
Organization

Contact information

Practice address
20542 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9749
(623) 566-1310
(623) 566-1331
Mailing address
20542 N LAKE PLEASANT RD STE 109, PEORIA, AZ 85382-9749
(623) 566-1310
(623) 566-1331

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5619
AZ

Other

Enumeration date
06/16/2011
Last updated
06/16/2011
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