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GIDEON IKECHUKW OCHIABUTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
137 STATE ROUTE 104, OSWEGO, NY 13126-2937
(315) 342-5700
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
053709
NY

Other

Enumeration date
05/06/2008
Last updated
05/06/2008
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