| Dr. Ogufere Dds, P.c | |
|
6695 Grand Ave Suite E Gurnee IL 60031-5268 | |
| (847) 855-1445 | |
| (847) 855-1423 |
| Full Name | Dr. Ogufere Dds, P.c |
|---|---|
| Speciality | Dentist |
| Location | 6695 Grand Ave, Gurnee, Illinois |
| Authorized Official Name and Position | Uhonmosen Ogufere (DENTIST) |
| Authorized Official Contact | 8478551556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Ogufere Dds, P.c 6695 Grand Ave Suite E Gurnee IL 60031-5268 Ph: (847) 855-1445 | Dr. Ogufere Dds, P.c 6695 Grand Ave Suite E Gurnee IL 60031-5268 Ph: (847) 855-1445 |
| NPI Number | 1386007490 |
|---|---|
| Provider Enumeration Date | 04/05/2016 |
| Last Update Date | 04/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386007490 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019.026580 (Illinois) | Primary |
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