Individual
MRS. SANDRA NKECHI MUOGHALU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1050 W. HAYWARD DR, MOUNT VERNON, MO 65712
(417) 466-7196
(417) 466-4081
Mailing address
1050 W. HAYWARD DR, MOUNT VERNON, MO 65712
(417) 466-7196
(417) 466-4081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2016012511
MO
1223G0001X
General Practice Dentistry
7169
KS
Other
Enumeration date
05/03/2006
Last updated
10/17/2024
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