# OLALEKAN OKUNUGA, DDS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790187128
- **Authorized official:** HALEY WOOSTER (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (712) 744-4529

## Contact information

- **Practice address:** 1165 E ATLANTIC ST, SOUTH HILL, VA 23970-9547
- **Practice address phone:** (434) 447-2492
- **Practice address fax:** (434) 447-2873
- **Mailing address:** 1165 E ATLANTIC ST, SOUTH HILL, VA 23970-9547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401413867 | VA | Yes |

## Other

- **Enumeration date:** 09/17/2014
- **Last updated:** 09/17/2014