Organization
GREGORY A. OSBORNE DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY ALLEN OSBORNE DDS (PRESIDENT)
(210) 202-0692
Entity
Organization
Contact information
Practice address
3301 OAKWELL CT STE 102B, SAN ANTONIO, TX 78218-3075
(210) 202-0692
(210) 338-8747
Mailing address
3301 OAKWELL CT STE 102B, SAN ANTONIO, TX 78218-3075
(210) 202-0692
(210) 338-8747
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710039334
NPI
TX
Enumeration date
01/16/2007
Last updated
02/09/2022
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