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Individual

DR. TATSUHIKO OSADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3020 14TH ST NW, WASHINGTON, DC 20009-6865
(443) 253-8993
Mailing address
3460 14TH ST NW APT 227, WASHINGTON, DC 20010-4400
(443) 253-8993

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
0401412789
VA
122300000X
Dentist
14410
MD
122300000X
Dentist
Primary
DEN1000890
DC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/10/2009
Last updated
10/04/2011
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