Individual
CHASE OSHIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3903 DOUGLAS AVE, RACINE, WI 53402-3230
(262) 639-1272
Mailing address
10 SPRUCEWOOD CT, RACINE, WI 53402-5316
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6000057-15
WI
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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