Individual
EMMANUEL KWEKU GAVUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 FLORIDA AVE, BOX 220, LSU SCHOOL OF DENTISTRY, NEW ORLEANS,, LA 70119-2799
(504) 941-8000
Mailing address
1502 PATRICIA DR APT D, YEADON, PA 19050-4051
(267) 694-3266
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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