Jean Ostendrorf

NPI #1255095527 in Fairborn, Ohio

Provider Information

NPI Number: 1255095527
Entity Type: Individual
Name: Jean Ostendrorf
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: Oct 23, 2021
Last Updated: Oct 23, 2021

Practice Location

Address: 1763 TEAROSE CIR
City: Fairborn
State: Ohio
ZIP Code: 45324-9628
Phone: (937) 207-9498

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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