Organization
GULIA OMENE DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKPO OMENE (OWNER)
(215) 609-8649
Entity
Organization
Contact information
Practice address
22 PAOLI PIKE, PAOLI, PA 19301-1830
(610) 644-5547
(610) 644-1081
Mailing address
22 PAOLI PIKE, PAOLI, PA 19301-1830
(610) 644-5547
(610) 644-1081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265729776
DENTAL
PA
Enumeration date
12/15/2022
Last updated
01/20/2023
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