Individual
IFEANYI OKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2180 MACARTHUR RD, WHITEHALL, PA 18052-4535
(610) 437-1800
Mailing address
15041 119TH RD, JAMAICA, NY 11434-2001
(347) 320-5856
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS043813
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2021
Last updated
07/11/2022
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