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Individual

DR. EHIDANMEGBE OKUNWA AKHARUME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
3455 GOVERNMENT ST, BATON ROUGE, LA 70806
(225) 341-8332
Mailing address
730 CHAMBORD DR, BRANDON, MS 39042-4016
(601) 212-9653

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
123G0001X
TN
1223G0001X
General Practice Dentistry
4025-18
MS
1223G0001X
General Practice Dentistry
6337
LA

Other

Enumeration date
07/14/2010
Last updated
09/07/2018
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