DR. Ty Dodson Osborne, DDS
NPI #1386964583 in Kings Park, New York
Provider Information
- NPI Number
- 1386964583
- Entity Type
- Individual
- Name
- DR. Ty Dodson Osborne, DDS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist - General Practice
- Credential
- DDS
- Enumeration Date
- Jun 10, 2010
- Last Updated
- Aug 1, 2011
Practice Location
- Address
- 90 MAIN ST
- City
- Kings Park
- State
- New York
- ZIP Code
- 11754-2719
- Phone
- (631) 269-6812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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