Organization
FEISAL OSMAN DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEISAL OSMAN DENTIST (OWNER DOCTOR)
(804) 364-1696
Entity
Organization
Contact information
Practice address
3033 LAUDERDALE DR, RICHMOND, VA 23233
(804) 364-1696
(804) 360-0756
Mailing address
3033 LAUDERDALE DR, RICHMOND, VA 23233
(804) 364-1696
(804) 360-0756
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007712
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228966
ANTHEM
VA
05
—
7801688
—
VA
01
—
908748
UNITED CONCORDIA
VA
Enumeration date
09/21/2007
Last updated
07/10/2008
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