Individual
DR. CHUKWUKA M OKAFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
134 S CLAYTON ST STE 28, LAWRENCEVILLE, GA 30046-5753
(678) 230-0597
Mailing address
1775 GRAND CONCOURSE, 6TH FLOOR, BRONX, NY 10453-8202
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015524
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1639602980
NPI
—
Enumeration date
04/04/2017
Last updated
07/31/2019
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