Organization
GRANT B OSEROWSKY DDS PLLC
Active
Other names
479 Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRANT OSEROWSKY DDS (CEO)
(417) 825-4000
Entity
Organization
Contact information
Practice address
1404 SE EAGLE WAY STE 2, BENTONVILLE, AR 72712-4841
(479) 553-9202
Mailing address
10 W OXFORD DR, ROGERS, AR 72758-9530
(417) 825-4000
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/04/2022
Last updated
02/04/2022
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