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Organization
SMILE CONROE, PA
Active
Organization
SMILE CONROE, PA
Active
Other names
Kenneth Osamor DDS Pa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH OSAMOR DDS (PRESIDENT)
(936) 760-3050
Entity
Organization
Contact information
Practice address
1002 N LOOP 336 W, CONROE, TX 77301-1829
(936) 760-3050
(936) 441-3068
Mailing address
1002 N LOOP 336 W, CONROE, TX 77301-1829
(936) 760-3050
(936) 441-3068
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21886
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181
—
TX
05
—
181571401
—
TX
01
—
21886
LICENSE
TX
Enumeration date
05/16/2007
Last updated
02/01/2021
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