Provider Demographics
NPI:1407274368
Name:JANA OSMOLINSKI DDS INC
Entity Type:Organization
Organization Name:JANA OSMOLINSKI DDS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSMOLINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:206-787-0883
Mailing Address - Street 1:7509 DRAPER AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-4862
Mailing Address - Country:US
Mailing Address - Phone:858-454-8484
Mailing Address - Fax:
Practice Address - Street 1:7509 DRAPER AVE
Practice Address - Street 2:SUITE B
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-4862
Practice Address - Country:US
Practice Address - Phone:858-454-8484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty