Everaid Ubangoh Fokim, MDT Valid NPI
Individual provider · Dental Therapist · Coon Rapids, MN
- NPI
- 1316617491
- Type
- Individual (Type 1)
- Primary specialty
- Dental Therapist
- Specialty group
- Dental Providers
- Taxonomy code
- 125J00000X
- License number
- DT130 (MN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-09-20
- Last updated
- 2021-09-20
Practice location
9920 Foley Blvd Nw
Coon Rapids, MN 55433-4579
(763) 317-1166