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Individual

DR. JUSTIN OHNIGIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS, MS

Contact information

Practice address
1645 ROUTE 112 STE B, MEDFORD, NY 11763-3662
(516) 458-2592
Mailing address
1645 ROUTE 112 STE B, MEDFORD, NY 11763-3662
(516) 458-2592

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
057728
NY

Other

Enumeration date
04/12/2022
Last updated
04/12/2022
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