Individual
DR. CHIDIEBERE AUGUSTINE OKPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
US DENTAL HEALTH ACTIVITY, 3600 SHOEMAKER LANE SUITE 1051, FT. CAVAZOS, TX 76544-5054
(254) 287-2705
Mailing address
BLDG 39033 SUPPORT AVE, APO, AA 76544
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
135807439921
UT
1223G0001X
General Practice Dentistry
13580743-9921
UT
Other
Enumeration date
09/12/2023
Last updated
04/16/2024
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