Individual
DR. CHINEDU JOHN EZEJI-OKOYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1526 5TH AVE, SAN RAFAEL, CA 94901-1852
(415) 453-6409
Mailing address
1519 HIGH PARK DRIVE NW, HIGH RIVER, AB T1V0A-4
(403) 701-6272
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
44586
CA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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