# OSOWA DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083394225
- **Authorized official:** DR. BERNADETTE O OSOWA DDS (DR.)
- **Authorized official phone:** (586) 822-6302

## Contact information

- **Practice address:** 35409 23 MILE RD, NEW BALTIMORE, MI 48047-3601
- **Practice address phone:** (586) 725-9330
- **Mailing address:** 44892 RIVERGATE DR, CLINTON TOWNSHIP, MI 48038-1384
- **Mailing address phone:** (586) 822-6302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2023
- **Last updated:** 09/13/2023