Individual
DELIS OGANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
505 N JACKSON ST, JACKSON, MI 49201-1266
(517) 748-5500
Mailing address
374 WADSWORTH AVE APT 1A, NEW YORK, NY 10040-3110
(929) 304-6521
Taxonomy
Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
11111111
MI
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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