Individual
RITA OKOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2030 CUMMING HWY STE 110, CANTON, GA 30115-8009
(404) 974-9000
Mailing address
2030 CUMMING HWY STE 110, CANTON, GA 30115-8009
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123582
GA
1223G0001X
General Practice Dentistry
13002
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2022
Last updated
08/19/2024
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