| 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 |
|---|---|
| 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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