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Organization
OSORIO SOUTH BOSTON DENTAL GROUP DMD PC
Active
Organization
OSORIO SOUTH BOSTON DENTAL GROUP DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIAN OSORIO DMD, MSCD (OWNER/PRESIDENT)
(617) 268-1030
Entity
Organization
Contact information
Practice address
9 CHANNEL CTR ST STE 100, BOSTON, MA 02210-3436
(617) 268-1030
(617) 268-2924
Mailing address
9 CHANNEL CTR ST STE 100, BOSTON, MA 02210-3436
(617) 268-1030
(617) 268-2924
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
12/11/2024
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