NPI 1063941177

Vashti Osborn

Practitioner Dentist Ada, OK

Practice location

Address: 1430 Lonnie Abbott Blvd, Ada, OK 74820-1851
Phone: (580) 279-1716
Fax: (580) 279-1591

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 6953 (OK)

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Registry record

NPI: 1063941177
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Jun 2017
Record last updated: 12 Jun 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.