Individual
OMOTOLA UGOCHUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
339 N ROUTE 73, SUITE 4, BERLIN, NJ 08009-9707
(856) 753-1547
(856) 753-1548
Mailing address
339 N ROUTE 73, SUITE 4, BERLIN, NJ 08009-9707
(856) 753-1547
(856) 753-1548
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS0379019
PA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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