NPI | 1417515628 |
---|---|
Doing Business As | OSTENDORF FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER OSTENDORF OSTENDORF Owner/Dentist 218-290-1870 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-06-03 |
Last Update Date | 2019-06-03 |