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Individual

DR. PHILIP OSBORN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
129 MECKLYNN RD STE A, MOORESVILLE, NC 28117-7592
(704) 360-5557
Mailing address
129 MECKLYNN RD STE A, MOORESVILLE, NC 28117-7592
(704) 360-5557

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11370
NC
1223G0001X
General Practice Dentistry
11370
NC

Other

Enumeration date
05/28/2019
Last updated
01/30/2024
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