Individual
OTEJIRI OHWOVORIOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
520 POPE AVE, FORT LEAVENWORTH, KS 66027-2332
(913) 684-5516
Mailing address
741 HIGHLAND DR, LEAVENWORTH, KS 66048-4876
(913) 306-1552
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12699
KS
Other
Enumeration date
03/01/2021
Last updated
03/01/2021
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