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1730619438
DELIS OGANDO
JACKSON, MI
NPI
1730619438
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
125K00000X Advanced Practice Dental Therapist
(Licence: MI 11111111)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
DELIS OGANDO DDS
505 N JACKSON ST
JACKSON, MI 49201-1266
Phone number: 517-748-5500
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Mailing Address
DELIS OGANDO DDS
374 WADSWORTH AVE APT 1A
NEW YORK, NY 10040-3110
Phone number: 929-304-6521
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