Individual
DONG HEON OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21290
MA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
22DI02713100
NJ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN21290
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110072945A
—
MA
Enumeration date
05/15/2007
Last updated
04/27/2021
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