Individual
GRANT BRENNAN OSEROWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
614 E EMMA AVE STE 300, SPRINGDALE, AR 72764-4469
(479) 751-7417
Mailing address
5211 S BROOKMERE ST, ROGERS, AR 72758-5097
(417) 825-4000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4298
AR
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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