Organization
OSTERTAG ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN OSTERTAG DDS, MS (OWNER)
(715) 255-5051
Entity
Organization
Contact information
Practice address
4907 KEYSTONE XING, SUITE A, EAU CLAIRE, WI 54701-5144
(715) 855-5051
(715) 855-5052
Mailing address
4907 KEYSTONE XING, SUITE A, EAU CLAIRE, WI 54701-5144
(715) 855-5051
(715) 855-5052
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3726-015
WI
Other
Enumeration date
11/03/2009
Last updated
11/03/2009
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