Individual
THEODOR ELMOND OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1145 WILLOW BEND CIR. #2, COLORADO SPRINGS, CO 80918-7035
(719) 594-2050
Mailing address
1145 WILLOW BEND CIR APT 2, COLORADO SPRINGS, CO 80918-7035
(719) 594-2050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3266
CO
Other
Enumeration date
10/11/2005
Last updated
04/23/2008
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