Individual
AMANDA JO OKUNDAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
11970 MONTANA AVE APT 208, LOS ANGELES, CA 90049-5043
(310) 486-6656
(424) 208-3232
Mailing address
3815 TROPICAL VINE ST, LAS VEGAS, NV 89147-8079
(310) 486-6656
(866) 235-3806
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
56779
CA
1223D0004X
Dental Anesthesiology
56779
CA
1223D0004X
Dental Anesthesiology
Primary
5993
NV
Other
Enumeration date
05/27/2008
Last updated
05/20/2013
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