Individual
DR. DOROTHY RUSSELL OSBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
Mailing address
5720 1ST AVE S, BIRMINGHAM, AL 35212-2522
(205) 380-9455
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5695
AL
Other
Enumeration date
07/10/2009
Last updated
07/23/2009
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