Individual
EVERAID UBANGOH FOKIM
Active
Individual
EVERAID UBANGOH FOKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MDT
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
H10783
MN
125J00000X
Dental Therapist
Primary
DT130
MN
Other
Enumeration date
09/20/2021
Last updated
09/20/2021
Update your record
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