Individual
ISIOMA ANTHONIA OKONMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D. D. S., M.P.H.
Contact information
Practice address
408 STATESVILLE BLVD, SALISBURY, NC 28144-2318
(704) 637-2120
(704) 637-1283
Mailing address
408 STATESVILLE BLVD, SALISBURY, NC 28144-2318
(704) 637-2120
(704) 637-1283
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7842
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89902X7
—
NC
Enumeration date
05/01/2006
Last updated
02/20/2011
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