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Individual

DR. GORDON ROBERT OSBORN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
4260 TRUXTUN AVE, SUITE 150, BAKERSFIELD, CA 93309-0691
(661) 322-9885
(661) 322-7736
Mailing address
4260 TRUXTUN AVE, SUITE 150, BAKERSFIELD, CA 93309-0691
(661) 322-9885
(661) 322-7736

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
29732
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29732
STATE LICENSE NUMBER
CA
Enumeration date
05/04/2006
Last updated
03/07/2023
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