Organization
THE DENTIST@FELIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTIAN M OKAFOR DDS, PHD. (MANAGING MEMBER)
(206) 613-9193
Entity
Organization
Contact information
Practice address
10710 NW LAKESHORE AVE, VANCOUVER, WA 98685-4786
(206) 613-9193
Mailing address
2012 S 19TH WAY, RIDGEFIELD, WA 98642-9279
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DE60567260
WA
Other
Enumeration date
03/17/2018
Last updated
03/17/2018
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