Individual
MRS. NANETTE MARIE OHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
100 INTREPID LN, SYRACUSE, NY 13205-2546
(315) 492-8138
Mailing address
120 MARIAN DR, SYRACUSE, NY 13219-2423
(315) 487-9549
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
018149-1
NY
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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