Individual
DR. IJOGBE JUSTIN AKHIMIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1421 CONCORD PKWY N STE 10, CONCORD, NC 28025-2921
(704) 886-5104
Mailing address
3532 SAWGRASS CT, GASTONIA, NC 28056-6631
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12419
NC
Other
Enumeration date
07/23/2021
Last updated
07/23/2021
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