NPI 1164063004 · live from the CMS NPI Registry
A. Osma Dental Corporation
Dentist, General Practice in Lancaster, CA. National Provider Identifier 1164063004, active.
NPI record
| NPI | 1164063004 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 44207 20th St W, Lancaster, CA 93534 |
| Practice phone | 661-942-8333 |
| Mailing address | 37935 47th St E Ste A22, Palmdale, CA 93552 |
| Enumerated | October 2, 2019 |
| Last updated | October 2, 2019 |
| Authorized official | Amalia Osma, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Dental | 261QD0000X | — |
| Dentist, General Practice primary | 1223G0001X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.