Organization
DR. DARRELL L OSTERHOUDT & ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SHELTON (OFFICE MANAGER)
(801) 568-0172
Entity
Organization
Contact information
Practice address
9217 REDWOOD RD STE C, WEST JORDAN, UT 84088-5827
(801) 568-0172
(801) 568-3932
Mailing address
9217 REDWOOD RD STE C, WEST JORDAN, UT 84088-5827
(801) 568-0172
(801) 568-3932
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
10/18/2018
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