Individual
AMINDA OSORIO-MODRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3176 DANVILLE BLVD, STE 2, ALAMO, CA 94507
(925) 837-6052
(925) 837-3768
Mailing address
3176 DANVILLE BLVD, STE 2, ALAMO, CA 94507
(925) 837-6052
(925) 837-3768
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
54022
CA
122300000X
Dentist
A2348675
CA
Other
Enumeration date
12/12/2006
Last updated
12/13/2010
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