Individual
DR. MULOKOZI K LUGAKINGIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD, DDS, MS.
Contact information
Practice address
2121 E DUPONT RD, C, FORT WAYNE, IN 46825-1546
(260) 490-2013
(260) 490-1081
Mailing address
2121 E DUPONT RD, C, FORT WAYNE, IN 46825-1546
(260) 490-2013
(260) 490-1081
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019027483
IL
1223G0001X
General Practice Dentistry
Primary
8348
TN
1223G0001X
General Practice Dentistry
DS036291
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440525
—
TN
Enumeration date
08/11/2005
Last updated
09/07/2011
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