Individual
DR. BRIAN OZENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1420 W MOCKINGBIRD LN, SUITE 500, DALLAS, TX 75247-4931
(214) 630-7080
(214) 630-7085
Mailing address
1420 W MOCKINGBIRD LN, SUITE 500, DALLAS, TX 75247-4931
(214) 630-7080
(214) 630-7085
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
23180
TX
1223G0001X
General Practice Dentistry
9609
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184248601
—
TX
01
—
23180
CHIP NUMBER
TX
Enumeration date
05/07/2007
Last updated
08/18/2008
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