Individual
DR. JUSTIN D NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2107 COTTMAN AVE, PHILADELPHIA, PA 19149-1122
(215) 235-4060
Mailing address
2958 WILLOW STREET PIKE N, WILLOW STREET, PA 17584-9489
(717) 917-0147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS041243
PA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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