Individual
MR. WILLIAM BENJAMIN OSSAKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5651 STONE RD, CENTREVILLE, VA 20120
(703) 830-3092
(703) 830-0601
Mailing address
5651 STONE RD, CENTREVILLE, VA 20120
(703) 830-3092
(703) 830-0601
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410211
VA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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