Most Relevant Information
Provider Data
| NPI Number: | 1003554304 |
| Provider Name: | ESTELLE SONYA TACHAGO KAMDOM DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/25/2022 |
| Last Updated: | 06/14/2022 |
Provider Practice Location
35 E KEMPER RD
CINCINNATI
OH
452463224
Practice Location Phone/Fax
| Phone: | 5136420002 |
| Fax: |
Provider Mailing Location
218 N CHARLES ST APT 705
BALTIMORE
MD
212014078
Provider Mailing Phone/Fax
| Phone: | 3136273157 |
| Fax: |