Provider Demographics
NPI:1932305836
Name:EROWELE, DARLINGTON KELECHI (DDS)
Entity Type:Individual
Prefix:
First Name:DARLINGTON
Middle Name:KELECHI
Last Name:EROWELE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 EL PASEO ST
Mailing Address - Street 2:APT. 410
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-3053
Mailing Address - Country:US
Mailing Address - Phone:612-280-7290
Mailing Address - Fax:
Practice Address - Street 1:1400 S 2ND ST APT C207
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1042
Practice Address - Country:US
Practice Address - Phone:612-280-7290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MND12434122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist