Individual
IFEANYI CHUKWUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
BRANCH HEALTH CLINIC WASHINGTON NAVY YARD, BUILDING 175, 915 N ST SE, WASHINGTON, DC 20374
(202) 433-2589
Mailing address
BRANCH HEALTH CLINIC WASHINGTON NAVY YARD, BUILDING 175, 915 N ST SE, WASHINGTON, DC 20374
(757) 953-1897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415430
VA
Other
Enumeration date
10/26/2016
Last updated
03/24/2025
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