Individual
DR. GABRIEL EHIMEN UKEGHESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1709 IST STREET S, WILLMAR, MN 56201
(320) 262-7176
Mailing address
1600 N SYCAMORE AVE APT 214, ROSWELL, NM 88201-8823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D14841
MN
122300000X
Dentist
DD5503
NM
Other
Enumeration date
09/18/2021
Last updated
12/27/2022
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