| NPI | 1326531120 |
|---|---|
| Professional Name | ELOM KWAME AGBOTTAH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: CA 103776) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 33911) |
| Enumeration Date | 2018-06-07 |
| Last Update Date | 2019-10-02 |