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Individual

DUKE OSITA OKEKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1215 W GATE DR STE 180, LELAND, NC 28451-0437
(910) 663-1223
Mailing address
305 SHALIMAR DR, DURHAM, NC 27713-7571

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12047
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12047
NCBDE
NC
Enumeration date
09/21/2020
Last updated
09/21/2020
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