| Amalia S Osma Dental Corporation | |
|
37935 47th St E Ste A22 Palmdale CA 93552-3268 | |
| (661) 350-3344 | |
| Not Available |
| Full Name | Amalia S Osma Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 37935 47th St E Ste A22, Palmdale, California |
| Authorized Official Name and Position | Amalia Osma (PRESIDENT) |
| Authorized Official Contact | 6613503344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amalia S Osma Dental Corporation 1606 Balinese Ct. Palmdale CA 93551 Ph: (661) 526-3475 | Amalia S Osma Dental Corporation 37935 47th St E Ste A22 Palmdale CA 93552-3268 Ph: (661) 350-3344 |
| NPI Number | 1124416987 |
|---|---|
| Provider Enumeration Date | 01/02/2015 |
| Last Update Date | 01/02/2015 |
| Medicare PECOS PAC ID | 2466784210 |
|---|---|
| Medicare Enrollment ID | O20191028001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124416987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Amalia Seraspi Osma |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1871707083 PECOS PAC ID: 3375875123 Enrollment ID: I20191028001458 |
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