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Organization

ISIOMA A. OKONMAH D.D.S., M.P.H., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ISIOMA ANTHONIA OKONMAH D.D.S., M.P.H. (OWNER/PRESIDENT)
(908) 906-8172
Entity
Organization

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
261QD0000X
Dental Clinic/Center
Primary
7842
NC

Other

Enumeration date
10/23/2009
Last updated
10/23/2009
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