Organization
COLIN P OSBORNE III DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN P. OSBORNE III DDS (PRESIDENT)
(910) 738-9396
Entity
Organization
Contact information
Practice address
407 W 27TH ST, LUMBERTON, NC 28358-3019
(910) 738-9396
(910) 738-9395
Mailing address
PO BOX 569, LUMBERTON, NC 28359-0569
(910) 738-9396
(910) 738-9395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3703
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8996531
—
NC
Enumeration date
03/25/2008
Last updated
10/23/2015
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