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Individual

SOMTOCHUKWU AGUNWAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
371 WHITNEY RD, SPARTANBURG, SC 29303-3143
(864) 479-8841
Mailing address
371 WHITNEY RD, SPARTANBURG, SC 29303-3143
(864) 479-8841

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401416739
VA
1223P0221X
Pediatric Dentistry
12957
NC
1223P0221X
Pediatric Dentistry
16704
MD
1223P0221X
Pediatric Dentistry
Primary
DGD.10410
SC

Other

Enumeration date
04/04/2017
Last updated
03/02/2023
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