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General NPI Number Information
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NPI Number | 1912070194
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Entity Type | Organization
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Legal Business Name | RON OSTOMEL, D.M.D., INCORPORATED
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3715 RAILROAD AVE SUITE E
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City | PITTSBURG
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State | CA
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Zip | 94565-5236
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Country | US
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Telephone | 925-432-3347
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Fax | 925-432-3269
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Provider Business Mailing Address
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Address Line | 3715 RAILROAD AVE SUITE E
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City | PITTSBURG
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State | CA
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Zip | 94565-5236
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Country | US
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Telephone | 925-432-3347
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Fax | 925-432-3269
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Authorized Official
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Title or Position | DENTIST
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Name | DR. RON OSTOMEL
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Credential | D.M.D.
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Telephone | 925-432-3347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21737
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License Number State | CA
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