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Individual

KENECHUKWU NWANKWO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
5701 PRESIDENT GEORGE BUSH HWY STE 140, ROWLETT, TX 75089-3694
(214) 703-0703
Mailing address
2817 GARDEN OAKS PL, GRAND PRAIRIE, TX 75052-4402
(972) 816-8861

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
33588
TX
1223G0001X
General Practice Dentistry
33588
TX

Other

Enumeration date
04/14/2017
Last updated
09/14/2023
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