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Individual

DR. JOSEPH CHUKWUDI UBAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1910 BULL ST, COLUMBIA, SC 29201-2508
(803) 254-7696
(803) 254-7697
Mailing address
1910 BULL ST, COLUMBIA, SC 29201-2508
(803) 254-7696
(803) 254-7697

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3295
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3295
SC
Enumeration date
09/27/2007
Last updated
09/27/2007
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