Ostertag Orthodontics, Llc | |
4907 Keystone Xing Suite A Eau Claire WI 54701-5144 | |
(715) 855-5051 | |
(715) 855-5052 |
Full Name | Ostertag Orthodontics, Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 4907 Keystone Xing, Eau Claire, Wisconsin |
Authorized Official Name and Position | Alan Ostertag (OWNER) |
Authorized Official Contact | 7152555051 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ostertag Orthodontics, Llc 4907 Keystone Xing Suite A Eau Claire WI 54701-5144 Ph: (715) 855-5051 | Ostertag Orthodontics, Llc 4907 Keystone Xing Suite A Eau Claire WI 54701-5144 Ph: (715) 855-5051 |
NPI Number | 1679800239 |
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Provider Enumeration Date | 11/03/2009 |
Last Update Date | 11/03/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679800239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3726-015 (Wisconsin) | Primary |
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