Individual
DR. OLIVIA IKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
885 MAIN ST, HACKENSACK, NJ 07601-4914
(201) 343-4233
Mailing address
855 MAIN ST, HACKENSACK, NJ 07601-4961
(201) 343-4233
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DI02796400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/12/2019
Last updated
07/06/2022
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