Individual
OGECHI AMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2570 WIGWAM PKWY, HENDERSON, NV 89074-6224
(702) 757-3399
Mailing address
7581 JACARANDA BAY ST, LAS VEGAS, NV 89139-5313
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DERE.RR.61448989
WA
1223G0001X
General Practice Dentistry
Primary
7967
NV
Other
Enumeration date
06/14/2023
Last updated
05/17/2024
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