Individual
DIOGO DO NASCIMENTO MACHADO GOUVEIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
305 W 12TH AVE OFC 3005D, COLUMBUS, OH 43210-1267
(614) 247-1730
Mailing address
55 E 9TH AVE APT 207, COLUMBUS, OH 43201-2167
(734) 972-7944
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
30.025932
OH
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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