Individual
IJEOMA GRACE JUELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1780 OLD HIGHWAY 50 E, UNION, MO 63084-3397
(844) 853-8937
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2019040450
MO
Other
Enumeration date
10/08/2019
Last updated
09/22/2021
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