Individual
MISS EDMOND EBUBECHUKWU ONWUKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11212 PROFESSIONAL PARK DR, LOUISVILLE, KY 40291-4476
(502) 742-2168
Mailing address
1220 W 35TH ST, LOS ANGELES, CA 90007-3444
(301) 768-9678
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10989
KY
1223E0200X
Endodontics
30.027110
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
05/11/2020
Last updated
06/27/2023
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