NPI 1629190897

Eric Lynn Osborne, DENTALLABTECH

Practitioner Dental Laboratory Technician Garden Ridge, TX

Practice location

Address: 18945 Fm 2252 115, Garden Ridge, TX 78266-2562
Phone: (757) 953-8635
Fax: (757) 953-8597
Mailing address: 3129 Lyons Ave, Norfolk, VA 23509-2557

Registered specialties

Dental Laboratory Technician Primary

Dental Providers Taxonomy 126900000X Licence T62-66-0416 (VA)

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Registry record

NPI: 1629190897
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Apr 2007
Record last updated: 8 Jul 2007

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.