Individual
KENECHI OKANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2770 HOOPER AVE UNIT 4, BRICK, NJ 08723-4160
(609) 489-0030
Mailing address
2770 HOOPER AVE UNIT 4, BRICK, NJ 08723-4160
(732) 965-3682
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
22DI03055100
NJ
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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