Individual
DR. KIERIAN KEMJIKA NWUGUWO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 VESTAL PKWY E, VESTAL, NY 13850-3565
(607) 777-1340
(607) 777-1345
Mailing address
4501 VESTAL PKWY E, VESTAL, NY 13850-3565
(607) 777-1340
(607) 777-1345
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0435501
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01254264
—
NY
Enumeration date
11/08/2005
Last updated
07/08/2007
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