Individual
EUGENIA OSBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
371 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
Mailing address
371 LAKE HAVASU AVE S, LAKE HAVASU CITY, AZ 86403-9307
(928) 855-8333
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2023022202
MO
1223G0001X
General Practice Dentistry
Primary
D012308
AZ
Other
Enumeration date
03/06/2023
Last updated
08/28/2024
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