Individual
PIETER FREDERICK OOSTHUIZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LD
Contact information
Practice address
725 N 5TH ST, STE 101, JACKSONVILLE, OR 97530-9873
(541) 899-9999
Mailing address
725 N 5TH ST STE 101, JACKSONVILLE, OR 97530-9874
(541) 899-9999
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10152790
OR
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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