| NPI | 1578755948 |
|---|---|
| Other Name | DARRELL OSTERHOUDT |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223D0001X Dentist Dental Public Health (Licence: UT 5138167-9922) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: UT H06158) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2019-07-15 |