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Individual

DR. OHIOSUMUAN CHIBUIKEM EHIMIAGHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
3401 RALEIGH ROAD PKWY W STE 10C, WILSON, NC 27896-8222
(252) 653-4099
Mailing address
3401 RALEIGH ROAD PKWY W STE 10C, WILSON, NC 27896-8222

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13007
NC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/29/2022
Last updated
11/17/2023
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