Individual
DR. SYDNEY OKONOBOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2030 CUMMING HWY STE 110, CANTON, GA 30115-8009
(678) 818-8480
Mailing address
2030 CUMMING HWY STE 110, CANTON, GA 30115-8009
(315) 454-6000
(866) 803-4943
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1002585
WI
1223G0001X
General Practice Dentistry
Primary
DN122541
GA
Other
Enumeration date
06/24/2021
Last updated
01/24/2022
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