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Individual
JONATHAN ODINSKY
Active
Individual
JONATHAN ODINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
061623-01
NY
1223G0001X
General Practice Dentistry
Primary
22D102956200
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/12/2019
Last updated
01/29/2024
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