Individual
GREGORY OHANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1111 W COVINA BLVD STE 230, SAN DIMAS, CA 91773-3205
(909) 895-4914
Mailing address
165 S ROSEMEAD BLVD, PASADENA, CA 91107-3955
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
59013
CA
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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