Individual
MR. ERIC LYNN OSBORNE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTAL LAB TECH
Contact information
Practice address
18945 FM 2252, 115, GARDEN RIDGE, TX 78266-2562
(757) 953-8635
(757) 953-8597
Mailing address
3129 LYONS AVE, NORFOLK, VA 23509-2557
(757) 395-0306
(757) 953-8597
Taxonomy
Speciality
Code
Description
License number
State
126900000X
Dental Laboratory Technician
Primary
T62-66-0416
VA
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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