Individual
CHIDIOGO OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5201 ROE BLVD, ROELAND PARK, KS 66205-2390
(913) 828-0060
Mailing address
4050 OAK ST, KANSAS CITY, MO 64111-1613
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
61859
KS
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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