Individual
DR. LARRY WILLIAM OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1353 E MOUND RD, DECATUR, IL 62526-9345
(217) 875-7600
(217) 875-0218
Mailing address
1353 E MOUND RD, DECATUR, IL 62526-9345
(217) 875-7600
(217) 875-0218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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