Organization
SANTIAM DENTAL GROUP, LLC
Active
Other names
Osborne Dentistry Registry #1356504-97
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN E. OSBORNE DMD (DENTIST)
(541) 451-4300
Entity
Organization
Contact information
Practice address
150 MARKET ST, LEBANON, OR 97355-2334
(541) 451-4300
(541) 451-4799
Mailing address
150 MARKET ST, LEBANON, OR 97355-2334
(541) 451-4300
(541) 451-4799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5083
OR
1223G0001X
General Practice Dentistry
D7346
OR
Other
Enumeration date
11/16/2005
Last updated
05/23/2018
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