Individual
DR. DOUGLAS KENNETH OUSTERHOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DDS
Contact information
Practice address
45 CASTRO ST STE 150, SAN FRANCISCO, CA 94114-1040
(415) 626-2888
(415) 626-0689
Mailing address
45 CASTRO ST STE 150, SAN FRANCISCO, CA 94114-1040
(415) 626-2888
(415) 626-0689
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C31417
CA
Other
Enumeration date
06/12/2009
Last updated
06/12/2009
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