Individual
ELBERT PLUMMER OSBORNE JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4821 RIVERSIDE DR, DANVILLE, VA 24541-5537
(434) 822-0500
(434) 822-1330
Mailing address
174 FAIRMONT CICLE, DANVILLE, VA 24541-5211
(434) 792-7405
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401003149
VA
Other
Enumeration date
07/08/2005
Last updated
07/08/2007
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