DR. SHADRACH GONQUEH, DDS
Dentist - General Practice
Active
Individual
NPI: 1275791709
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | 12011150A (IN) |
Frequently Asked Questions
NPI 1275791709 is the National Provider Identifier for DR. SHADRACH GONQUEH, DDS, a Dentist - General Practice provider located in Indianapolis, IN. This NPI was enumerated on May 30, 2008.
DR. SHADRACH GONQUEH, DDS practices at 1664 E RAYMOND ST, Indianapolis, IN 46203.
Quick Facts
- NPI
- 1275791709
- Type
- Individual
- Enumerated
- May 30, 2008
- Last Updated
- Jun 13, 2023
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