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NPI Code Detail

MEDICARE: DR. MAJELLA OGECHI CAVEN-NWAGWU D.D.S

MEDICARE:  DR. MAJELLA OGECHI CAVEN-NWAGWU  D.D.S
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry2901019698MI

General Provider Information

NPI Number : 1730358656
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAJELLA OGECHI CAVEN-NWAGWU D.D.S
Provider Business Mailing Address
First Line : 15400 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48227-4124
Country : US
Telephone Number : 301-213-6803
Fax Number :
Provider Business Practice Location Address
First Line : 15400 GRAND RIVER AVE
Second Line :
City : DETROIT
State : MI
Zip : 48227-4124
Country : US
Telephone Number : 301-213-6803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2008
Last Update Date : 02/25/2008

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Directions to “ DR. MAJELLA OGECHI CAVEN-NWAGWU D.D.S” Practice Location

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