Individual
DR. JESSE DAVID OSTBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4361 BONIFACE PKWY, ANCHORAGE, AK 99504-4316
(907) 333-1211
Mailing address
18756 S LOWRIE LOOP, EAGLE RIVER, AK 99577-8607
(319) 541-5060
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1389
AK
Other
Enumeration date
07/26/2011
Last updated
07/26/2011
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