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Organization
OSMAN DENTAL
Active
Organization
OSMAN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIESTA OSMAN (PRESIDENT)
(972) 664-9696
Entity
Organization
Contact information
Practice address
101 S COIT RD, #34, RICHARDSON, TX 75080-5743
(972) 664-9696
Mailing address
101 S COIT RD, #34, RICHARDSON, TX 75080-5743
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180871901
—
TX
Enumeration date
07/09/2008
Last updated
07/09/2008
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