Organization
LOCUST FORK FAMILY DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL G OSBORNE DMD (OWNER/OPERATOR)
(205) 681-3050
Entity
Organization
Contact information
Practice address
29984 STATE HIGHWAY 79 STE 300, LOCUST FORK, AL 35097-5877
(205) 681-3050
(844) 815-6428
Mailing address
29984 STATE HIGHWAY 79 STE 300, LOCUST FORK, AL 35097-5877
(205) 681-3050
(844) 815-6428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5624
AL
Other
Enumeration date
11/30/2017
Last updated
11/30/2017
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