Gabriel Ehimen Ukegheson, DDS Valid NPI
Individual provider · Dentist · Willmar, MN
- NPI
- 1073283206
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- D14841 (MN)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2021-09-18
- Last updated
- 2022-12-27
Practice location
1709 Ist Street S
Willmar, MN 56201
(320) 262-7176