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Pieter Frederick Oosthuizen, LD
Denturist in Jacksonville, Oregon
NPI 1679912844

Pieter Frederick Oosthuizen is a Denturist based in Jacksonville, OR. Pieter Frederick Oosthuizen practices in Jacksonville, OR and has the professional credentials of LD. The NPI Number for Pieter Frederick Oosthuizen is 1679912844 and holds a License No. DT-DO-10152790 (Oregon).

The current practice location address for Pieter Frederick Oosthuizen is 725 N 5Th St, Jacksonville, OR and can be reached out via phone at 541-899-9999.

Location: 725 N 5Th St, Jacksonville, OR, 97530-9874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679912844
Provider Name
Pieter Frederick Oosthuizen
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
725 N 5Th St, Jacksonville, OR, 97530-9874
Phone Number
541-899-9999
Fax Number
Provider Enumeration Date
06/20/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
725 N 5Th St
City
Jacksonville
State
Oregon
Zip
97530-9873
Phone Number
541-899-9999
Fax Number
person
Provider Business Mailing Address Details
Address
725 N 5Th St
City
Jacksonville
State
Oregon
Zip
97530-9873
Phone Number
541-899-9999
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
122400000X
License No.
DT-DO-10152790 (Oregon)
Definition
Definition to come.
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