Individual
DR. OTABOR ENATA OKUNDAYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9019
Mailing address
6900 PECOS RD, NORTH LAS VEGAS, NV 89086-4400
(702) 791-9019
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
054198-1
NY
1223P0700X
Prosthodontics
054198-1
NY
Other
Enumeration date
11/02/2010
Last updated
07/10/2015
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