Individual
DR. EHIZOGIE PAUL ADEGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MPH
Contact information
Practice address
7 FARRELL ST, SOUTH BURLINGTON, VT 05403-6113
(813) 710-4378
Mailing address
2231 DISSTON ST, PHILADELPHIA, PA 19149-1917
(434) 258-7195
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0160134303
VT
Other
Enumeration date
09/24/2024
Last updated
10/22/2024
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