Individual
MAXWELL UGOCHUKWU OGUMGBUAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1550 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1602
(651) 788-7045
Mailing address
1550 WHITE BEAR AVE N, SAINT PAUL, MN 55106-1602
(651) 788-7045
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D15435
MN
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/19/2026
Last updated
05/25/2026
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