Individual
EDIDIONG JOSEPH UDOFIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(740) 586-7321
Mailing address
605 RANDOLPH RD, FORT SILL, OK 73503-4535
(740) 586-7321
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS045338
PA
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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