Individual
DR. KELECHI UKAEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3302 GASTON AVE DEPT OF, DALLAS, TX 75246-2013
(972) 799-6706
Mailing address
1500 JACKSON ST APT 802, DALLAS, TX 75201-4926
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
40052
TX
1223P0300X
Periodontics
Primary
40052
TX
Other
Enumeration date
08/10/2021
Last updated
10/04/2023
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