Individual
SERRATU OMOSOMI IYAMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1758 NW 82ND ST, LAWTON, OK 73505-2356
(580) 354-7223
Mailing address
3640 VILLAGE GREEN DR, GRAND PRAIRIE, TX 75052-7042
(682) 433-1116
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7354
OK
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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