Individual
OGECHUKWU IFEYINWA MORONTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2100 N BROAD ST STE 201, LANSDALE, PA 19446-1052
(215) 362-2333
Mailing address
5 W PLUMSTEAD AVE APT B, LANSDOWNE, PA 19050-1123
(484) 321-1132
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
37839
TX
1223G0001X
General Practice Dentistry
DS041324
PA
Other
Enumeration date
06/12/2017
Last updated
12/01/2021
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