Individual
DR. UYI VINCENT OSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1 KNEELAND ST, BOSTON, MA 02111-1527
(617) 636-6828
Mailing address
179 WOOLEY CREEK WAY, BRENTWOOD, CA 94513-2472
(415) 352-9575
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
109331
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2023
Last updated
09/08/2023
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