Individual
IFEANYI OKOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4301 W HUNDRED RD, CHESTER, VA 23831-1959
(508) 753-6777
Mailing address
4301 W HUNDRED RD, CHESTER, VA 23831-1959
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1857451
MA
1223P0221X
Pediatric Dentistry
Primary
0401416446
VA
Other
Enumeration date
10/22/2016
Last updated
06/27/2019
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