Individual
DR. MARY ELIZABETH OKULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
1401 DELANCEY WAY, MARLTON, NJ 08053-8519
(614) 563-5194
Mailing address
1401 DELANCEY WAY, MARLTON, NJ 08053-8519
(614) 563-5194
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
PENDING
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01
—
PA
Enumeration date
12/10/2007
Last updated
12/10/2007
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