| Grant B Oserowsky Dds Pllc | |
|
1404 Se Eagle Way Ste 2 Bentonville AR 72712-4841 | |
| (479) 553-9202 | |
| Not Available |
| Full Name | Grant B Oserowsky Dds Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1404 Se Eagle Way Ste 2, Bentonville, Arkansas |
| Authorized Official Name and Position | Grant Oserowsky (CEO) |
| Authorized Official Contact | 4178254000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant B Oserowsky Dds Pllc 10 W Oxford Dr Rogers AR 72758-9530 Ph: (417) 825-4000 | Grant B Oserowsky Dds Pllc 1404 Se Eagle Way Ste 2 Bentonville AR 72712-4841 Ph: (479) 553-9202 |
| NPI Number | 1255085684 |
|---|---|
| Provider Enumeration Date | 02/04/2022 |
| Last Update Date | 02/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255085684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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