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NPI 1629190897

IndividualActive

Eric Osborne, DENTAL LAB TECH

NPI 1629190897 · Dental Laboratory Technician · Garden Ridge, TX

Provider details

NPI number: 1629190897
Entity type: Individual
Primary specialty: Dental Laboratory TechnicianDental Providers
Credential: DENTAL LAB TECH
Sex: Male
Sole proprietor: No
License: T62-66-0416 (VA)

Practice location

18945 Fm 2252

115

Garden Ridge, TX 78266-2562

Phone: (757) 953-8635

Fax: (757) 953-8597

More TX providers

Mailing address

3129 Lyons Ave

Norfolk, VA 23509-2557

Registry dates

Enumerated: 2007-04-06
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Eric Osborne, DENTAL LAB TECH — NPI 1629190897, Garden Ridge, TX | NPI Central