Individual
PAUL ERIC OSTLIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
501 SANFORD ST, DECORAH, IA 52101
(563) 382-2441
(563) 382-6048
Mailing address
501 SANFORD ST, DECORAH, IA 52101
(563) 382-2441
(563) 382-6048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7601
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086272
—
IA
Enumeration date
09/07/2006
Last updated
07/08/2007
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