Individual
NEO MAMORAKA EHIWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
609 BEAVER RUIN RD NW, LILBURN, GA 30047-3401
(678) 606-9407
Mailing address
13760 ALDENBROOK DR, HUNTERSVILLE, NC 28078-4232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12916
NC
Other
Enumeration date
05/13/2022
Last updated
08/07/2026
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