Individual
CHIBUEZE ROY EGERUOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS043439
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
14066
CT
Other
Enumeration date
06/29/2021
Last updated
06/11/2024
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