Individual
THEODORE GABRIEL MUCHITENI
Active
Individual
THEODORE GABRIEL MUCHITENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
5566
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208734
TRIGON BCBS
—
01
—
523612
UNITED CONCORDIA
—
01
—
69278
BLUE CROSS BLUE SHIELD OF
NC
05
—
6996278
—
NC
Enumeration date
08/12/2005
Last updated
06/13/2008
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