Individual
DR. DAVID RICK OSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
20542 N LAKE PLEASANT RD, SUITE #109, PEORIA, AZ 85382-9749
(623) 566-1310
(623) 566-1331
Mailing address
8944 W QUAIL AVE, PEORIA, AZ 85382-2429
(623) 594-1941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5619
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
926727
AHCCCS
AZ
Enumeration date
04/11/2006
Last updated
07/08/2007
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