| NPI | 1265648984 |
|---|---|
| Former Legal Business Name | KENNETH OSAMOR DDS PA |
| Entity Type | Organization |
| Authorized Contact | KENNETH OSAMOR President 936-760-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21886) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-02-01 |