Individual
DANIEL EDUARDO OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
162 GRAHAM AVE, APT 3, BROOKLYN, NY 11206-2786
(718) 483-0737
Mailing address
PO BOX 5024, CLIFTON PARK, NY 12065-0861
(718) 483-0737
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
060377
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/02/2017
Last updated
07/24/2019
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