Organization
DRIVEN DENTAL PLLC
Active
Other names
City Station Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER NNAMDI OKWEREKWU DMD, MPH (OWNER)
(612) 423-7771
Entity
Organization
Contact information
Practice address
1520 6TH AVE STE 102, TROY, NY 12180-4584
(518) 274-2660
Mailing address
1520 6TH AVE STE 102, TROY, NY 12180-4584
(518) 274-2660
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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