Individual
DR. OKWUCHI N AZENABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
335 W DAPHNE RD, GLENDALE, WI 53217-3903
(414) 702-6152
Mailing address
335 W. DAPHNE ROAD, GLENDALE, WI 53217
(414) 702-6152
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001517-15
WI
Other
Enumeration date
05/17/2017
Last updated
07/21/2022
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