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Individual

HENRIETTE MAMBE TAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 746-7211
Mailing address
20 BARBARA LN UNIT 83, LAS VEGAS, NV 89183-5860

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
004924
OH

Other

Enumeration date
05/06/2025
Last updated
06/24/2025
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