Individual
DR. DARRELL OSTERHOUDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.
Contact information
Practice address
9217 S REDWOOD RD, SUITE C, WEST JORDAN, UT 84088-5826
(801) 568-0172
(801) 568-3932
Mailing address
9217 S REDWOOD RD, SUITE C, WEST JORDAN, UT 84088-5826
(801) 568-0172
(801) 568-3932
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
5138167-9922
UT
1223G0001X
General Practice Dentistry
H06158
UT
Other
Enumeration date
08/09/2007
Last updated
07/15/2019
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