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Individual

DR. GUANPENG OU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
3808 UNION ST STE 4C, FLUSHING, NY 11354-5670
(718) 440-6603
Mailing address
1849 66TH ST, BROOKLYN, NY 11204-3803
(347) 933-1214

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
061421-01
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/27/2019
Last updated
04/19/2024
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