Organization
OSOWA DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNADETTE O OSOWA DDS (DR.)
(586) 822-6302
Entity
Organization
Contact information
Practice address
35409 23 MILE RD, NEW BALTIMORE, MI 48047-3601
(586) 725-9330
Mailing address
44892 RIVERGATE DR, CLINTON TOWNSHIP, MI 48038-1384
(586) 822-6302
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
09/13/2023
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