Individual
DR. OHAN MANOUKIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4 MARRETT RD, BURLINGTON, MA 01803-4007
(617) 869-7755
Mailing address
4 MARRETT RD, BURLINGTON, MA 01803-4007
(617) 869-7755
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN1859119
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2020
Last updated
10/04/2021
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