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Organization
GREGORY A. OSBORNE DDS PA
Active
Organization
GREGORY A. OSBORNE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALLEN OSBORNE DDS (PRESIDENT)
(210) 202-0692
Entity
Organization
Contact information
Practice address
3301 OAKWELL CT STE 102B, SAN ANTONIO, TX 78218-3075
(210) 202-0692
(210) 338-8747
Mailing address
3301 OAKWELL CT STE 102B, SAN ANTONIO, TX 78218-3075
(210) 202-0692
(210) 338-8747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710039334
NPI
TX
Enumeration date
01/16/2007
Last updated
02/09/2022
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