Individual
CARLOS IGNACIO OSORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7700 POPLAR AVE STE 212, GERMANTOWN, TN 38138-3955
(901) 657-3729
Mailing address
7700 POPLAR AVE STE 212, GERMANTOWN, TN 38138-3955
(901) 657-3729
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12878
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/22/2023
Last updated
09/03/2025
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