Individual
UKPE THEODORA OSAGHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6666 SECURITY BLVD STE 1, WOODLAWN, MD 21207-4025
(484) 273-6878
Mailing address
6666 SECURITY BLVD STE 1, WOODLAWN, MD 21207-4025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18833
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2023
Last updated
06/27/2025
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