Individual
DR. NIELS OESTERVEMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
633 CEDAR CREEK GRADE, WINCHESTER, VA 22601-3006
(540) 450-2100
(540) 662-4090
Mailing address
633 CEDAR CREEK GRADE, WINCHESTER, VA 22601-2708
(540) 450-2100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
08972
IA
1223G0001X
General Practice Dentistry
Primary
0401414994
VA
Other
Enumeration date
07/15/2010
Last updated
02/09/2022
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