Provider Demographics
NPI:1164007811
Name:OSSES ALBORNOZ, CATALINA (DDS)
Entity Type:Individual
Prefix:DR
First Name:CATALINA
Middle Name:
Last Name:OSSES ALBORNOZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 HIGH ST APT 110
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-2637
Mailing Address - Country:US
Mailing Address - Phone:860-328-6858
Mailing Address - Fax:
Practice Address - Street 1:1201 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01850-1293
Practice Address - Country:US
Practice Address - Phone:978-455-7056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-15
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13107390200000X
MADN18600101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program