Individual
JANE A OGEMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
32 CONKEY AVE, NORWICH, NY 13815-1762
(607) 337-4174
Mailing address
32 CONKEY AVE, NORWICH, NY 13815-1762
(607) 337-4174
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
053290
NY
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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