Individual
DR. STEPHEN R. OTTOSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.D.
Contact information
Practice address
1010 FIFTH STREET, WENATCHEE, WA 98801
(509) 664-6669
(509) 665-0272
Mailing address
1010 FIFTH STREET, WENATCHEE, WA 98801
(509) 664-6669
(509) 665-0272
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DE00007277
WA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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