Organization
OLALEKAN OKUNUGA, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALEY WOOSTER (CREDENTIALING SPECIALIST)
(712) 744-4529
Entity
Organization
Contact information
Practice address
1165 E ATLANTIC ST, SOUTH HILL, VA 23970-9547
(434) 447-2492
(434) 447-2873
Mailing address
1165 E ATLANTIC ST, SOUTH HILL, VA 23970-9547
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413867
VA
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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