NPI 1316617491
Everaid Ubangoh Fokim, MDT
Practice location
- Address
- 9920 Foley Blvd NW, Coon Rapids, MN 55433-4579
- Phone
- (763) 317-1166
- Mailing address
- 2312 7th St N, North St Paul, MN 55109-2845
Registered specialties (2)
Dental Therapist
Primary
Dental Hygienist
Registry record
- NPI
- 1316617491
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 20 Sep 2021
- Record last updated
- 20 Sep 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.