Individual
DR. PATRICK MUGABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-5399
Mailing address
305 W 12TH AVE, COLUMBUS, OH 43210-1267
(614) 292-3596
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30027191
OH
1223E0200X
Endodontics
Primary
30027191
OH
Other
Enumeration date
05/29/2023
Last updated
09/06/2023
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